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Costco Wholesale Corporation

Pharmacy, Community/Retail Pharmacy in Yorba Linda, CA. Organization (NPI-2).

NPI number1366552960
StatusActive
Last updated in NPPESMay 28, 2025

Details

NPI
1366552960
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 codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHY41244CAYes
3336M0002X Pharmacy, Mail Order Pharmacy––

Practice location

22633 Savi Ranch Pkwy
Yorba Linda, CA 92887

Phone 714-279-1580 · Fax 714-279-1585

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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