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Costco Wholesale Corporation

Pharmacy, Community/Retail Pharmacy in Alpharetta, GA. Organization (NPI-2).

NPI number1609986215
StatusActive
Last updated in NPPESMay 20, 2025

Details

NPI
1609986215
Entity type
Organization (NPI-2)
Legal business name
Costco Wholesale Corporation
Organization subpart
No
Enumeration date
Aug 30, 2006
Certification date
May 20, 2025
Last updated
May 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHRE008933GAYes

Practice location

2855 Jordan Ct
Alpharetta, GA 30004

Phone 678-823-4978 · Fax 678-823-4975

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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