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Organization

COSTCO WHOLESALE CORPORATION

Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Pharmacy 1664
Organization subpart
Yes

Provider details

NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
RICHARD STEPHENS RPH (SVP PHARMACY)
(425) 313-8259
Entity
Organization

Contact information

Practice address
1420 BLACK AVE, EAU CLAIRE, WI 54703-1354
(715) 598-6765
(715) 598-6756
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 416-2829
(425) 313-6595

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
07/21/2023
Last updated
02/07/2024
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