Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
COSTCO PHARMACY #1124
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (AVP - PHARMACY SERVICES)
(425) 313-8259
Entity
Organization
Contact information
Practice address
11160 VEIRS MILL RD, SILVER SPRING, MD 20902-2538
(301) 692-1330
(301) 692-1332
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P05964
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136807
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/30/2012
Last updated
05/27/2025
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