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Organization
COSTCO WHOLESALE CORPORATION
Active
Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
Costco Pharmacy #1287
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
3075 HAMRICK RD, CENTRAL POINT, OR 97502-2844
(541) 734-2482
(541) 734-3209
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 313-6670
(425) 313-6595
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0001195
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2078212
PK
—
01
—
3810670
NCPDP IDENTIFICATION NUMBER
—
Enumeration date
08/30/2006
Last updated
05/22/2025
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