Organization
COSTCO WHOLESALE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
650 GATEWAY CENTER DR, SAN DIEGO, CA 92102
(619) 358-2302
(619) 358-2310
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
PHY44348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006997
PK
—
05
—
PHA443480
—
CA
Enumeration date
08/30/2006
Last updated
05/19/2025
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