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Costco — NPI 1043635709, Greenville, SC | NPI Central

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NPI 1043635709

OrganizationActive

Costco

NPI 1043635709 · Public Health or Welfare Agency · Greenville, SC

Provider details

NPI number: 1043635709
Entity type: Organization
Primary specialty: Public Health or Welfare AgencyAgencies
Organization subpart: No
Authorized official: Patrick Mains, Pharmacy Manager(864) 297-2569
License: 14212 (SC)

Specialties & taxonomies

Public Health or Welfare AgencyPrimary251K00000XLicense 14212 (SC)
Agencies

Practice location

1021 Woodruff Rd

Greenville, SC 29607-4108

Phone: (864) 297-2569

Approximate (ZIP-level) locationGet directions

More SC providers

Mailing address

1021 Woodruff Rd

Greenville, SC 29607-4108

Registry dates

Enumerated: 2014-03-04
Last updated: 2014-03-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.