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
405 HARTFORD RD, NEW BRITAIN, CT 06053
(860) 893-7011
(860) 893-7002
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PCY.0002320
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153142
PK
—
Enumeration date
03/20/2015
Last updated
05/20/2025
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