Organization
COSTCO WHOLESALE CORPORATION
Active
Parent organization
COSTCO WHOLESALE CORPORATION
Other names
Costco Pharmacy #1363
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSTCO WHOLESALE CORPORATION
Authorized official
RICHARD STEPHENS (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
995 BLUE GENTIAN RD, EAGAN, MN 55121-1542
(612) 439-8070
(612) 439-8061
Mailing address
PO BOX 35005, SEATTLE, WA 98124-3405
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
05/16/2025
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