Organization
COSTCO WHOLESALE CORPORATION
Active
Other names
COSTCO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENS (DIRECTOR INSURANCE PLANS)
(425) 313-8259
Entity
Organization
Contact information
Practice address
222 S MARTIN L KING BLVD, LAS VEGAS, NV 89106-4305
(702) 384-5781
(702) 384-1137
Mailing address
222 S MARTIN L KING BLVD, LAS VEGAS, NV 89106-4305
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH00896
NV
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2905000
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/30/2006
Last updated
05/27/2025
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