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Costco Wholesale Corporation
Community/Retail Pharmacy in Moreno Valley, California
NPI 1982714580

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, CA and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in Moreno Valley, CA. The NPI Number for Costco Wholesale Corporation is 1982714580 and holds a License No. PHY41821 (California).

The current practice location address for Costco Wholesale Corporation is 12700 Day St, Moreno Valley, CA and can be reached out via phone at 951-697-7737 and via fax at 951-697-7741. You can also correspond with Costco Wholesale Corporation through the mailing address at PO BOX 34300, SEATTLE, WA - 98124-1300 (mailing address contact number: 425-313-6670).

Location: 12700 Day St, Moreno Valley, CA, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982714580
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
12700 Day St, Moreno Valley, CA, 98124-1300
Phone Number
951-697-7737
Fax Number
951-697-7741
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0542628 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
12700 Day St
City
Moreno Valley
State
California
Zip
92553
Phone Number
951-697-7737
Fax Number
951-697-7741
person
Provider Business Mailing Address Details
Address
12700 Day St
City
Moreno Valley
State
California
Zip
92553
Phone Number
951-697-7737
Fax Number
951-697-7741
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHY41821 (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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