Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
Costco Pharmacy #489
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
5300 OVERTON RIDGE BLVD, FT WORTH, TX 76132
(817) 210-0002
(817) 210-0009
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 313-6670
(425) 313-6595
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
020490
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4515625
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/30/2006
Last updated
05/14/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us