Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
Costco Pharmacy #785
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (AVP - PHARMACY SERVICES)
(425) 313-8259
Entity
Organization
Contact information
Practice address
1768 OLD COUNTRY RD, RIVERHEAD, NY 11901-4457
(631) 655-0120
(631) 655-0111
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032569
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145942
PK
—
Enumeration date
08/06/2013
Last updated
05/23/2025
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