Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
Costco Pharmacy #1360
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
2270 CLOVIS AVE, CLOVIS, CA 93612
(559) 291-1084
(559) 348-2273
Mailing address
PO BOX 35005, SEATTLE, WA 98124-3405
(425) 313-6504
(425) 313-6922
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY40377
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1993863
PK
—
Enumeration date
08/30/2006
Last updated
05/16/2025
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