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Organization
COSTCO WHOLESALE CORPORATION
Active
Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
Costco Pharmacy #1769
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS RPH (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
1915 W PARK PLACE BLVD, STONE MOUNTAIN, GA 30087
(678) 748-3920
(678) 310-1942
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 416-2660
(425) 313-6595
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
05/11/2026
Last updated
07/24/2026
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