Costco Wholesale Corporation
Pharmacy, Community/Retail Pharmacy in Monterey Park, CA. Organization (NPI-2).
NPI number1124138730
StatusActive
Last updated in NPPESMay 28, 2025
Details
- NPI
- 1124138730
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- No
- Enumeration date
- Aug 30, 2006
- Certification date
- May 28, 2025
- Last updated
- May 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 56135 | CA | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Costco Pharmacy #1318 (Doing Business As)
Practice location
2000 Market Place DrMonterey Park, CA 91755-7402
Phone 323-890-0069 · Fax 323-890-9277
Mailing address
Po Box 34300Seattle, WA 98124-1300
Phone 425-313-6670 · Fax 425-313-6595
Authorized official
Richard Stephens
Svp
4253138259
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