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
100 GRAND AVE, NORTH BRUNSWICK, NJ 08902
(732) 509-3915
(732) 509-3906
Mailing address
PO BOX 34300, SEATTLE, WA 98124-1300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00734500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144719
PK
—
Enumeration date
02/17/2014
Last updated
05/22/2025
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