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Costco Wholesale Corporation

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

NPI number1619087210
StatusActive
Last updated in NPPESMay 27, 2025

Details

NPI
1619087210
Entity type
Organization (NPI-2)
Legal business name
Costco Wholesale Corporation
Organization subpart
No
Enumeration date
Aug 30, 2006
Certification date
May 27, 2025
Last updated
May 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHY41651CAYes

Other names

  • Costco Pharmacy #428 (Doing Business As)

Practice location

2207 W Commonwealth Ave
Alhambra, CA 91803-1302

Phone 626-282-6954 · Fax 626-282-0550

Mailing address

Po Box 34300
Seattle, WA 98124-1300

Phone 425-313-6670 · Fax 425-313-6595

Authorized official

Richard Stephens
Avp Pharmacy
4253138259

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