Organization · NPI-2

Costco Wholesale Corporation

Pharmacy, Community/Retail Pharmacy · Edison, NJ

NPI number1710097332
StatusActive
Last updated in NPPESMay 22, 2025

Details

NPI
1710097332
Entity type
Organization (NPI-2)
Legal business name
Costco Wholesale Corporation
Organization subpart
No
Enumeration date
Aug 30, 2006
Certification date
May 22, 2025
Last updated
May 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy28RS00608000NJYes
333600000X Pharmacy––

Practice location

205 Vineyard Rd
Edison, NJ 08817

Phone 732-491-2022 · Fax 732-491-2041

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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