Organization
COSTCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINT COOK RPH (PHARMACY MANAGER)
(530) 342-3776
Entity
Organization
Contact information
Practice address
2100 DR MARTIN LUTHER KING JUNIOR PKWY, CHICO, CA 95928-4422
(530) 342-3776
(530) 332-1746
Mailing address
2100 DR MARTIN LUTHER KING JUNIOR PKWY, CHICO, CA 95928-4422
(530) 342-3776
(530) 332-1746
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
RPH32394
CA
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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