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
201 MEADOW FARM RD, LAFAYETTE, LA 70508
(337) 541-7035
(337) 541-7026
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 416-5259
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY007282RC
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157795
PK
—
Enumeration date
07/08/2015
Last updated
05/20/2025
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