Organization · NPI-2

Costco Wholesale Corporation

Pharmacy, Community/Retail Pharmacy · Newport News, VA

NPI number1336259969
StatusActive
Last updated in NPPESJul 24, 2026

Details

NPI
1336259969
Entity type
Organization (NPI-2)
Legal business name
Costco Wholesale Corporation
Organization subpart
No
Enumeration date
Aug 30, 2006
Certification date
Jul 24, 2026
Last updated
Jul 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy0201003589VAYes

Other names

  • Costco Pharmacy #247 (Doing Business As)

Practice location

12121 Jefferson Ave
Newport News, VA 23602

Phone 757-746-2002 · Fax 757-746-2010

Mailing address

Po Box 34300
Seattle, WA 98124-1300

Phone 425-313-6670 · Fax 425-313-6595

Authorized official

Richard Stephens
Svp Pharmacy
4253138259

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