Organization
COSTCO WHOLESALE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
5020 NORTON HEALTHCARE BLVD, LOUISVILLE, KY 40241
(502) 420-0169
(502) 420-0166
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 313-6670
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P07145
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1829716
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/03/2006
Last updated
08/22/2023
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