Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
COSTCO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (DIRECTOR INSURANCE PLANS)
(425) 313-8259
Entity
Organization
Contact information
Practice address
3700 PRICE CLUB BLVD, MIDLOTHIAN, VA 23112-3371
(804) 674-5861
(804) 674-6502
Mailing address
3700 PRICE CLUB BLVD, MIDLOTHIAN, VA 23112-3371
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0201003356
VA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4830089
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
8502919
—
VA
Enumeration date
08/30/2006
Last updated
05/27/2025
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