Costco Wholesale Corporation
Pharmacy, Community/Retail Pharmacy in Weatherford, TX. Organization (NPI-2).
NPI number1861215725
StatusActive
Last updated in NPPESJan 16, 2025
Details
- NPI
- 1861215725
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- No
- Enumeration date
- Nov 7, 2024
- Certification date
- Jan 16, 2025
- Last updated
- Jan 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Costco Pharmacy #1735 (Doing Business As)
Practice location
310 Center Point RoadWeatherford, TX 76087-4940
Phone 682-803-2856 · Fax 682-803-2847
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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