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Costco Wholesale Corporation
Community/Retail Pharmacy in Lodi, California
NPI 1922399419

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, CA and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in Lodi, CA. The NPI Number for Costco Wholesale Corporation is 1922399419 and holds a License No. 50639 (California).

The current practice location address for Costco Wholesale Corporation is 2680 Reynolds Ranch Pkwy, Lodi, CA and can be reached out via phone at 209-366-7301 and via fax at 209-366-7302.

Location: 2680 Reynolds Ranch Pkwy, Lodi, CA, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922399419
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
2680 Reynolds Ranch Pkwy, Lodi, CA, 98124-1300
Phone Number
209-366-7301
Fax Number
209-366-7302
Provider Enumeration Date
05/02/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5640900 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
2680 Reynolds Ranch Pkwy
City
Lodi
State
California
Zip
95240-6848
Phone Number
209-366-7301
Fax Number
209-366-7302
person
Provider Business Mailing Address Details
Address
2680 Reynolds Ranch Pkwy
City
Lodi
State
California
Zip
95240-6848
Phone Number
209-366-7301
Fax Number
209-366-7302
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
50639 (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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