Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
Costco Pharmacy #570
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD B STEPHENS (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
215 DEININGER CIR STE A, CORONA, CA 92880-1707
(866) 443-0060
(866) 443-0066
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 313-6670
(425) 313-6595
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
49981
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121710
PK
—
Enumeration date
08/26/2009
Last updated
08/16/2024
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