# COSTCO WHOLESALE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Costco Pharmacy \#1712
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528890225
- **Authorized official:** RICHARD STEPHENS (SVP PHARMACY)
- **Authorized official phone:** (425) 313-8259

## Contact information

- **Practice address:** 8094 HIGHWAY 72 WEST, MADISON, AL 35758
- **Practice address phone:** (938) 218-2923
- **Practice address fax:** (938) 218-2914
- **Mailing address:** PO BOX 34300, SEATTLE, WA 98124-1300
- **Mailing address phone:** (425) 416-1294

## Taxonomy

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

## Other

- **Enumeration date:** 08/20/2024
- **Last updated:** 05/28/2025