Organization
COSTCO WHOLESALE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL CULLEN RPH (PHARMACY MANAGER)
(970) 328-7610
Entity
Organization
Contact information
Practice address
170 COOLEY MESA ROAD, GYPSUM, CO 81637
(970) 328-7610
(970) 328-7607
Mailing address
PO BOX 379, 170 COOLEY MESA ROAD, GYPSUM, CO 81637-0379
(970) 328-7610
(970) 328-7607
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
21340
CO
Other
Enumeration date
10/20/2016
Last updated
08/03/2023
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