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
26400 DIXIE HWY, PERRYSBURG, OH 43551
(567) 368-6010
(567) 368-6001
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RTPC.022506850-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151162
PK
—
Enumeration date
10/03/2014
Last updated
05/22/2025
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