Costco Pharmacy # 1102 is not a DME supplier for medicare equipments and products.
Costco Pharmacy # 1102 is a Community/Retail Pharmacy in Augusta, Georgia. This pharmacy is owned and operated by Costco Wholesale Corporation. It is located at 825 Cabela Dr, Augusta and it's customer support contact number is 706-739-1701. The authorized person of Costco Pharmacy # 1102 is Michael Mastromonica who is Avp Pharmacy of the pharmacy and his contact number is 425-313-2892. Active license number of Costco Pharmacy # 1102 is PHRE009787 for Community/Retail Pharmacy in Georgia. Costco Pharmacy # 1102 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 # 1102 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.
Name:
Costco Pharmacy # 1102
Type:
Community/Retail Pharmacy
Location:
825 Cabela Dr, Augusta, Georgia, 30909-8202
Phone:
706-739-1701
Fax:
706-739-1702
Authorized/Official Person Profile:
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:
1073895496
NPI Enumeration Date:
12 Sep, 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 # 1102 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PHRE009787
Georgia
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
1161734
Other
Ncpdp Provider Identification Number
2131887
Other
Pk
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:
--
Fax Number:
--
Patients can reach Costco Pharmacy # 1102 at 825 Cabela Dr, Augusta, Georgia or can call on customer care at 706-739-1701.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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