Costco Wholesale Corporation
Pharmacy, Community/Retail Pharmacy in Winston Salem, NC. Organization (NPI-2).
NPI number1871603407
StatusActive
Last updated in NPPESMay 27, 2025
Details
- NPI
- 1871603407
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- No
- Enumeration date
- Aug 30, 2006
- Certification date
- May 27, 2025
- Last updated
- May 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 7833 | NC | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Costco Pharmacy (Doing Business As)
Practice location
1085 Hanes Mall BlvdWinston Salem, NC 27103-1310
Phone 336-970-2302 · Fax 336-970-2321
Mailing address
Po Box 34300Seattle, WA 98124-1300
Phone 425-313-6670 · Fax 425-313-6595
Authorized official
Richard Stephens
Avp Pharmacy
4253138259
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