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Costco Wholesale Corporation

Pharmacy, Community/Retail Pharmacy in Rochester, NY. Organization (NPI-2).

NPI number1659765386
StatusActive
Last updated in NPPESMay 22, 2025

Details

NPI
1659765386
Entity type
Organization (NPI-2)
Legal business name
Costco Wholesale Corporation
Organization subpart
No
Enumeration date
Mar 19, 2015
Certification date
May 22, 2025
Last updated
May 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy033606NYYes

Practice location

335 Westfall Rd
Rochester, NY 14620

Phone 585-471-6916 · Fax 585-471-6907

Mailing address

Po Box 34300
Seattle, WA 98124-1300

Authorized official

Richard Stephens
Svp Pharmacy
4253138259

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