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Costco Wholesale Corporation

Pharmacy, Community/Retail Pharmacy in Warrenton, OR. Organization (NPI-2).

NPI number1669705992
StatusActive
Last updated in NPPESMay 20, 2025

Details

NPI
1669705992
Entity type
Organization (NPI-2)
Legal business name
Costco Wholesale Corporation
Organization subpart
No
Enumeration date
Sep 18, 2009
Certification date
May 20, 2025
Last updated
May 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy0002573ORYes

Practice location

1804 Se Ensign Ln
Warrenton, OR 97146

Phone 503-338-4110 · Fax 503-338-4107

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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