Costco Wholesale Corporation
Pharmacy, Community/Retail Pharmacy in Gilbert, AZ. Organization (NPI-2).
NPI number1295845899
StatusActive
Last updated in NPPESNov 30, 2023
Details
- NPI
- 1295845899
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- No
- Enumeration date
- Aug 30, 2006
- Certification date
- Nov 30, 2023
- Last updated
- Nov 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 4429 | AZ | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Costco Pharmacy #644 (Doing Business As)
Practice location
2887 S Market StGilbert, AZ 85295
Phone 480-366-3959 · Fax 480-366-3956
Mailing address
Po Box 34300Seattle, WA 98124-1300
Phone 425-313-6670 · Fax 425-313-6595
Authorized official
Richard Stephens
Svp Pharmacy
4253138259
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All 36 Community/Retail Pharmacy providers in Gilbert · All 7,856 providers in Gilbert
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