Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
Costco Pharmacy #1278
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (SVP)
(425) 313-8259
Entity
Organization
Contact information
Practice address
9801 204TH AVE E, BONNEY LAKE, WA 98391-6559
(253) 750-8130
(253) 750-8121
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 416-2660
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176527
PK
—
Enumeration date
03/08/2018
Last updated
05/28/2025
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