Organization
COSTCO WHOLESALE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
6720 BASS PRO RD, BOSTON HEIGHTS, OH 44236
(330) 341-7010
(330) 341-7001
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 416-5259
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RTPC.022618850-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159814
PK
—
Enumeration date
11/05/2015
Last updated
05/20/2025
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