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
71 2ND AVE, WALTHAM, MA 02451
(781) 622-3894
(781) 890-5630
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
(425) 313-6670
(425) 313-6595
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS2279
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447439
—
MA
01
—
2037334
PK
—
Enumeration date
08/30/2006
Last updated
05/22/2025
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