Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Pharmacy #1119
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
WENDY DAVIS (SVP PHARMACY)
(425) 313-7206
Entity
Organization
Contact information
Practice address
750 23RD AVE E, WEST FARGO, ND 58078-7804
(425) 313-8100
Mailing address
P.O. BOX 34300, SEATTLE, WA 98124-1300
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3504897
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/28/2012
Last updated
05/20/2025
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