# COSTCO WHOLESALE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COSTCO PHARMACY \# 322
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700996329
- **Authorized official:** RICHARD STEPHENS (AVP PHARMACY)
- **Authorized official phone:** (425) 313-8259

## Contact information

- **Practice address:** 325 PROMENADE BLVD, BRIDGEWATER, NJ 08807-3457
- **Practice address phone:** (732) 584-1002
- **Practice address fax:** (732) 584-1010
- **Mailing address:** PO BOX 34300, SEATTLE, WA 98124-1300
- **Mailing address phone:** (425) 313-6670
- **Mailing address fax:** (425) 313-6595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS0057660 | NJ | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 05/27/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0018741 | — | NJ |
| 01 | — | 3141467 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |