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Costco Wholesale Corporation
Community/Retail Pharmacy in Grand Chute, Wisconsin
NPI 1902280092

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, WI and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in Grand Chute, WI. The NPI Number for Costco Wholesale Corporation is 1902280092 and holds a License No. 9346-42 (Wisconsin).

The current practice location address for Costco Wholesale Corporation is 5401 W Integrity Way, Grand Chute, WI and can be reached out via phone at 920-363-7010 and via fax at 920-363-7001.

Location: 5401 W Integrity Way, Grand Chute, WI, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902280092
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
5401 W Integrity Way, Grand Chute, WI, 98124-1300
Phone Number
920-363-7010
Fax Number
920-363-7001
Provider Enumeration Date
07/17/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2153719 01 PK
institution
Provider Business Practice Location Address Details
Address
5401 W Integrity Way
City
Grand Chute
State
Wisconsin
Zip
54913
Phone Number
920-363-7010
Fax Number
920-363-7001
person
Provider Business Mailing Address Details
Address
5401 W Integrity Way
City
Grand Chute
State
Wisconsin
Zip
54913
Phone Number
920-363-7010
Fax Number
920-363-7001
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
9346-42 (Wisconsin)
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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