# COSTCO WHOLESALE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Costco Pharmacy 1670
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114767563
- **Authorized official:** RICHARD STEPHENS RPH (SVP PHARMACY)
- **Authorized official phone:** (425) 313-8259

## Contact information

- **Practice address:** 4001 PINNACLE PKWY, COVINGTON, LA 70433-6052
- **Practice address phone:** (985) 249-2525
- **Practice address fax:** (985) 400-2971
- **Mailing address:** PO BOX 34300, SEATTLE, WA 98124-1300
- **Mailing address phone:** (425) 416-2829
- **Mailing address fax:** (425) 313-6595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/31/2024
- **Last updated:** 07/02/2024