Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
Costco Pharmacy 208
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
9919 PULASKI HWY, BALTIMORE, MD 21220
(410) 780-4159
(410) 780-5263
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 313-6670
(425) 313-6595
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P02238
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122391
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/30/2006
Last updated
05/16/2025
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