Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
Costco Pharmacy #1178
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (AVP -PHARMACY SERVICES)
(425) 313-8259
Entity
Organization
Contact information
Practice address
4705 WEITZEL ST., TIMNATH, CO 80547
(970) 416-6125
(970) 416-6116
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PDO.1680000072
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146709
PK
—
Enumeration date
06/25/2014
Last updated
05/28/2025
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