Organization
COSTCO WHOLESALE CORPORATION
Active
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
520 N LONE HILL AVE, SAN DIMAS, CA 91773
(909) 962-5516
(909) 962-5513
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
PHY48887
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5629918
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/19/2008
Last updated
05/20/2025
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