Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Pharmacy #1279
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
125 E SOUTH AIRPORT RD, TRAVERSE CITY, MI 49686
(231) 252-7010
(231) 252-7001
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(231) 252-7000
(231) 252-7011
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
MI
Other
Enumeration date
09/19/2017
Last updated
05/22/2025
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