Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
COSTCO PHARMACY #1262
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (THIRD PARTY MANAGER)
(425) 313-8259
Entity
Organization
Contact information
Practice address
8712 W LINEBAUGH AVE, TAMPA, FL 33625-3713
(813) 616-7011
(813) 616-7002
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 416-2660
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167085
PK
—
Enumeration date
08/15/2016
Last updated
05/28/2025
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