# COSTCO WHOLESALE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Costco Pharmacy \#1192
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649663972
- **Authorized official:** RICHARD STEPHENS (AGMM)
- **Authorized official phone:** (425) 313-8259

## Contact information

- **Practice address:** 1450 TINGLE CIR W, MOBILE, AL 36606-2632
- **Practice address phone:** (251) 308-7040
- **Practice address fax:** (251) 308-7031
- **Mailing address:** PO BOX 34300, SEATTLE, WA 98124-1300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 114479 | AL | Yes |

## Other

- **Enumeration date:** 03/11/2015
- **Last updated:** 05/27/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2150781 | PK | — |