Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
COSTCO PHARMACY #1125
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (AVP - PHARMACY SERVICES)
(425) 313-8259
Entity
Organization
Contact information
Practice address
2020 COMMERCE DR NW, ROCHESTER, MN 55901-3246
(507) 286-1870
(507) 286-1861
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
263982
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2431651
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/10/2012
Last updated
05/27/2025
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