Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Pharmacy/Specialty Pharmacy #1349
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
RICHARD STEPHENS (SVP/PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
260 LOGISTICS AVE STE A, JEFFERSONVILLE, IN 47130-4672
(866) 443-0060
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 313-8100
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
08/16/2024
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