Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
Costco Pharmacy #1710
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
310 INTEGRITY DR STE 105, MADISON, WI 53717-1416
(855) 213-0070
(855) 213-0125
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 416-1294
(425) 313-6595
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
08/16/2024
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