Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
Costco Pharmacy 1681
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS RPH (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
150 PIT RD, DAYTONA BEACH, FL 32114-0025
(386) 267-3210
(386) 267-3201
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(426) 416-1294
(425) 313-6595
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
01/23/2024
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