Organization
COSTCO WHOLESALE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL CULLEN (PHARMACY MANAGER)
(970) 328-7610
Entity
Organization
Contact information
Practice address
170 COOLEY MESA ROAD, GYPSUM, CO 81631
(970) 376-7841
(970) 328-7607
Mailing address
170 COOLEY MESA ROAD, GYPSUM, CO 81631
(970) 376-7841
(970) 328-7607
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
21340
CO
Other
Enumeration date
03/16/2017
Last updated
08/22/2023
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