# COSTCO WHOLESALE CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COSTCO WHOLESALE CORPORATION
- **Other names:** Costco Pharmacy \#1633
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821719303
- **Legal business name:** COSTCO WHOLESALE CORPORATION
- **Authorized official:** RICHARD STEPHENS (SVP PHARMACY)
- **Authorized official phone:** (425) 313-8259

## Contact information

- **Practice address:** 1160 N 1000 W, LOGAN, UT 84321-6846
- **Practice address phone:** (435) 915-4224
- **Practice address fax:** (435) 915-4215
- **Mailing address:** PO BOX 34300, SEATTLE, WA 98124-1300
- **Mailing address phone:** (425) 313-8100

## Taxonomy

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

## Other

- **Enumeration date:** 09/05/2022
- **Last updated:** 05/28/2025