Costco Pharmacy # 1091 is not a DME supplier for medicare equipments and products.
Costco Pharmacy # 1091 is a Community/Retail Pharmacy in Lodi, California. This pharmacy is owned and operated by Costco Wholesale Corporation. It is located at 2680 Reynolds Ranch Pkwy, Lodi and it's customer support contact number is 209-366-7301. The authorized person of Costco Pharmacy # 1091 is Michael Mastromonica who is Avp Pharmacy of the pharmacy and his contact number is 425-313-2892. Active license number of Costco Pharmacy # 1091 is 50639 for Community/Retail Pharmacy in California. Costco Pharmacy # 1091 is 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.
Pharmacy Details:
Costco Pharmacy # 1091 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Michael Mastromonica
Position:
Avp Pharmacy
Contact Number:
425-313-2892
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1922399419
NPI Enumeration Date:
02 May, 2011
NPI Last Update On:
18 Aug, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Costco Pharmacy # 1091 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
50639
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
5640900
Other
Ncpdp Provider Identification Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 34300, Seattle, Washington
Zip:
98124-1300
Phone Number:
425-313-6670
Fax Number:
425-313-6595
Patients can reach Costco Pharmacy # 1091 at 2680 Reynolds Ranch Pkwy, Lodi, California or can call on customer care at 209-366-7301.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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