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
10000 DAWNADELE AVE, BUILDING A, BATON ROUGE, LA 70809
(225) 295-4610
(225) 295-4601
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
006872
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144816
PK
—
Enumeration date
03/14/2014
Last updated
05/21/2025
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