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Costco Wholesale Corporation

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

NPI number1588534606
StatusActive
Last updated in NPPESJul 24, 2026

Details

NPI
1588534606
Entity type
Organization (NPI-2)
Legal business name
Costco Wholesale Corporation
Organization subpart
No
Enumeration date
Nov 5, 2025
Certification date
Jul 24, 2026
Last updated
Jul 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Other names

  • Costco Pharmacy # 1702 (Doing Business As)

Practice location

5200 Baseline Rd
Roseville, CA 95747-9740

Phone 916-297-6430 · Fax 916-721-2752

Mailing address

Po Box 34300
Seattle, WA 98124-1300

Phone 425-313-8100

Authorized official

Richard Stephens
Svp Pharmacy
4253138259

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