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Organization
COSTCO
Active
Organization
COSTCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EDWARD LAJUNE RPH (STAFF PHARMACIST)
(209) 725-5030
Entity
Organization
Contact information
Practice address
1445 R ST, MERCED, CA 95340-5850
(209) 725-5030
Mailing address
1445 R ST, MERCED, CA 95340-5850
(209) 725-5030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28432
CA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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