Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
COSTCO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (AVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
35804 DETROIT RD, AVON, OH 44011-1681
(440) 930-0102
(440) 930-0123
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 313-6670
(425) 313-6595
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RTP.021342850-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2078727
PK
—
Enumeration date
08/30/2006
Last updated
05/28/2025
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