Costco Wholesale Corporation
Pharmacy, Community/Retail Pharmacy in Vista, CA. Organization (NPI-2).
NPI number1609986207
StatusActive
Last updated in NPPESMay 19, 2025
Details
- NPI
- 1609986207
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- No
- Enumeration date
- Aug 30, 2006
- Certification date
- May 19, 2025
- Last updated
- May 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY39616 | CA | Yes |
Practice location
1755 Hacienda DrVista, CA 92081
Phone 760-631-5378 · Fax 760-631-7256
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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