Pharmacy Details

COSTCO WHOLESALE CORPORATION - information as of 5/7/2025 11:17:49 PM

Name
COSTCO WHOLESALE CORPORATION

Address

DBA COSTCO PHARMACY #302
119 DAGGETT DRIVE
WEST SPRINGFIELD, MA 01089

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	DSH220077	BAYSTATE MEDICAL CENTER	BAYSTATE NORTH CAMPUS	Disproportionate Share Hospital	759 CHESTNUT STREET		SPRINGFIELD	MA	05/23/2012	10/05/2016	3/11/2017 11:09 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			COSTCO WHOLESALE CORPORATION DBA COSTCO PHARMACY #302 119 DAGGETT DRIVE WEST SPRINGFIELD, MA 01089	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		COSTCO WHOLESALE CORPORATION DBA COSTCO PHARMACY #302 WEST SPRINGFIELD, MA 01089	COSTCO WHOLESALE CORPORATION DBA COSTCO PHARMACY #302 119 DAGGETT DRIVE WEST SPRINGFIELD, MA 01089	3/28/2013 3:59 PM
Details	Comments	Update				3/28/2013 3:59 PM
Addresses	Pharmacy Address	Update		Costco #302 119 Daggett Drive West Springfield, MA 01089	COSTCO WHOLESALE CORPORATION DBA COSTCO PHARMACY #302 WEST SPRINGFIELD, MA 01089	3/28/2013 3:59 PM
Details	Name	Update		Costco #302	COSTCO WHOLESALE CORPORATION	3/28/2013 3:59 PM
Details	Comments	Insert				5/1/2012 9:14 PM
Details	Is Deleted	Insert			False	5/1/2012 9:14 PM
Addresses	Pharmacy Address	Insert			Costco #302 119 Daggett Drive West Springfield, MA 01089	5/1/2012 9:14 PM
Details	Name	Insert			Costco #302	5/1/2012 9:14 PM