Costco Wholesale Corporation
Pharmacy, Community/Retail Pharmacy in Silver Spring, MD. Organization (NPI-2).
NPI number1295084762
StatusActive
Last updated in NPPESMay 27, 2025
Details
- NPI
- 1295084762
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- No
- Enumeration date
- Aug 30, 2012
- Certification date
- May 27, 2025
- Last updated
- May 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | P05964 | MD | Yes |
Other names
- Costco Pharmacy #1124 (Doing Business As)
Practice location
11160 Veirs Mill RdSilver Spring, MD 20902-2538
Phone 301-692-1330 · Fax 301-692-1332
Mailing address
Po Box 34300Seattle, WA 98124-1300
Authorized official
Richard Stephens
Avp - Pharmacy Services
4253138259
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