Costco Wholesale Corporation
Pharmacy, Community/Retail Pharmacy in Buckeye, AZ. Organization (NPI-2).
NPI number1619662178
StatusActive
Last updated in NPPESNov 30, 2023
Details
- NPI
- 1619662178
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Enumeration date
- Apr 10, 2023
- Certification date
- Nov 30, 2023
- Last updated
- Nov 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Costco Pharmacy #1653 (Doing Business As)
Practice location
1111 N Verrado WayBuckeye, AZ 85326-6795
Phone 480-618-4010 · Fax 480-618-4001
Mailing address
Po Box 34300Seattle, WA 98124-1300
Phone 425-416-1294 · Fax 425-313-6595
Authorized official
Richard Stephens
Svp Pharmacy
4253138259
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