| Costco Wholesale Corporation | |
|
7095 Market Place Dr Goleta CA 93117-5905 | |
| (805) 685-4141 | |
| Not Available |
| Full Name | Costco Wholesale Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7095 Market Place Dr, Goleta, California |
| Authorized Official Name and Position | Alice Hy (PHARMACIST MANAGER) |
| Authorized Official Contact | 8056854141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Costco Wholesale Corporation 7095 Market Place Dr Goleta CA 93117-5905 Ph: () - | Costco Wholesale Corporation 7095 Market Place Dr Goleta CA 93117-5905 Ph: (805) 685-4141 |
| NPI Number | 1821474503 |
|---|---|
| Provider Enumeration Date | 08/05/2015 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821474503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 67562 (California) | Primary |
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