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Organization

COSTCO WHOLESALE CORPORATION

Active
Other names
Costco Pharmacy #1189
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD STEPHENS (SVP)
(425) 313-8259
Entity
Organization

Contact information

Practice address
8185 SH 242, CONROE, TX 77385
(936) 703-2305
(936) 703-2296
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
29516
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2148477
PK
Enumeration date
06/30/2014
Last updated
05/14/2024
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