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Organization

COSTCO WHOLESALE CORPORATION

Active
Other names
Costco Pharmacy #1696
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD B STEPHENS (SVP PHARMACY)
(425) 313-8259
Entity
Organization

Contact information

Practice address
62207 NW COSTCO DR, BEND, OR 97703-8508
(541) 640-8582
(541) 640-8573
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
0001290
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2078301
PK
01
3811204
NCPDP IDENTIFICATION NUMBER
Enumeration date
08/30/2006
Last updated
10/21/2024
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