# COSTCO WHOLESALE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811248081
- **Authorized official:** RICHARD STEPHENS (SVP PHARMACY)
- **Authorized official phone:** (425) 313-8259

## Contact information

- **Practice address:** 273 E 1000 N, SPANISH FORK, UT 84660
- **Practice address phone:** (801) 504-9531
- **Practice address fax:** (801) 504-9532
- **Mailing address:** PO BOX 34300, SEATTLE, WA 98124-1300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 8395334-1703 | UT | Yes |

## Other

- **Enumeration date:** 09/27/2012
- **Last updated:** 05/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4612328 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |