Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Pharmacy #1364
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
RICHARD STEPHENS (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
805 LIGHTHOUSE DR., BRADENTON, FL 34212
(941) 213-0757
(941) 213-0748
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 313-8100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
05/16/2025
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