Organization
COSTCO WHOLESALE CORPORATION
Active
Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
COSTCO PHARMACY # 118
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (AVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
1900 DAVIS ST, SAN LEANDRO, CA 94577-1209
(510) 562-6815
(510) 562-5194
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 313-6670
(425) 313-6595
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY41403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0554142
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/30/2006
Last updated
05/23/2025
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