Organization
COSTCO WHOLESALE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD STEPHENS (SVP PHARMACY)
(425) 313-8259
Entity
Organization
Contact information
Practice address
11000 GARDEN GROVE BLVD, SUITE 201, GARDEN GROVE, CA 92843-1206
(714) 741-7725
Mailing address
11000 GARDEN GROVE BLVD, SUITE 201, GARDEN GROVE, CA 92843-1206
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY40425
CA
Other
Enumeration date
05/16/2017
Last updated
05/16/2025
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