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Organization

COSTCO WHOLESALE CORPORATION

Active
Other names
Costco Pharmacy #1192
Organization subpart
No

Provider details

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

Contact information

Practice address
1450 TINGLE CIR W, MOBILE, AL 36606-2632
(251) 308-7040
(251) 308-7031
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
114479
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2150781
PK
Enumeration date
03/11/2015
Last updated
05/27/2025
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