institution
Costco Wholesale Corporation
Community/Retail Pharmacy in San Luis Obispo, California
NPI 1841300498

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, CA and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in San Luis Obispo, CA. The NPI Number for Costco Wholesale Corporation is 1841300498 and holds a License No. PHY47290 (California).

The current practice location address for Costco Wholesale Corporation is 1540 Froom Ranch Way, San Luis Obispo, CA and can be reached out via phone at 805-541-7028 and via fax at 805-541-7025.

Location: 1540 Froom Ranch Way, San Luis Obispo, CA, 98124-1300
institution
Provider Profile Details
NPI Number
1841300498
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
1540 Froom Ranch Way, San Luis Obispo, CA, 98124-1300
Phone Number
805-541-7028
Fax Number
805-541-7025
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5616543 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1540 Froom Ranch Way
City
State
Zip
93405
Phone Number
805-541-7028
Fax Number
805-541-7025
person
Provider Business Mailing Address Details
Address
1540 Froom Ranch Way
City
State
Zip
93405
Phone Number
805-541-7028
Fax Number
805-541-7025
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
PHY47290 (California)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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