Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
Costco Pharmacy #1712
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
8094 HIGHWAY 72 WEST, MADISON, AL 35758
(938) 218-2923
(938) 218-2914
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 416-1294
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/20/2024
Last updated
05/28/2025
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