Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
Costco Pharmacy #1221
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (SVP)
(425) 313-8259
Entity
Organization
Contact information
Practice address
3500 BUSINESS CENTER DRIVE, PEARLAND, TX 77584
(281) 707-7011
(281) 707-7002
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
30158
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153904
PK
—
Enumeration date
09/02/2015
Last updated
05/14/2024
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