Costco Wholesale Corporation
Pharmacy, Community/Retail Pharmacy in Kalamazoo, MI. Organization (NPI-2).
NPI number1982012001
StatusActive
Last updated in NPPESMay 20, 2025
Details
- NPI
- 1982012001
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- No
- Enumeration date
- Aug 1, 2014
- Certification date
- May 20, 2025
- Last updated
- May 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 5301010594 | MI | Yes |
Practice location
5100 Century AveKalamazoo, MI 49006
Phone 269-743-2308 · Fax 269-743-2299
Mailing address
Po Box 34300Seattle, WA 98124-1300
Authorized official
Richard Stephens
Svp Pharmacy
4253138259
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