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Costco Wholesale Corporation
Community/Retail Pharmacy in Niles, Illinois
NPI 1871603480

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, IL and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in Niles, IL. The NPI Number for Costco Wholesale Corporation is 1871603480 and holds a License No. 054014291 (Illinois).

The current practice location address for Costco Wholesale Corporation is 7311 N Melvina Ave, Niles, IL and can be reached out via phone at 847-972-3002 and via fax at 847-972-3009.

Location: 7311 N Melvina Ave, Niles, IL, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871603480
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
7311 N Melvina Ave, Niles, IL, 98124-1300
Phone Number
847-972-3002
Fax Number
847-972-3009
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2025511 01 PK
1472365 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
7311 N Melvina Ave
City
Niles
State
Illinois
Zip
60714
Phone Number
847-972-3002
Fax Number
847-972-3009
person
Provider Business Mailing Address Details
Address
7311 N Melvina Ave
City
Niles
State
Illinois
Zip
60714
Phone Number
847-972-3002
Fax Number
847-972-3009
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
054014291 (Illinois)
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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