Organization
COSTCO WHOLESALE CORPORATION
Active
Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
Costco Pharmacy #1200
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (AVP-PHARMACY SERVICES)
(425) 313-8259
Entity
Organization
Contact information
Practice address
9700 E. KELLOGG, WICHITA, KS 67207
(316) 226-7152
(316) 226-7143
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2-13169
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150780
PK
—
Enumeration date
03/10/2015
Last updated
05/27/2025
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