Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Pharmacy #1485
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
RICHARD STEPHENS (AVP/PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
200 MOSAIC CIRCLE, POOLER, GA 31322
(912) 348-4569
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 313-8100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
12/03/2022
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