Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
COSTCO PHARMACY #1032/562
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, CORONA, CA 92880-1707
(800) 607-6861
(888) 545-4615
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
Primary
49177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119211
PK
—
Enumeration date
02/26/2009
Last updated
01/30/2024
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