Organization · NPI-2

Costco Wholesale Corporation

Pharmacy, Community/Retail Pharmacy · Roseville, CA

NPI number1992815591
StatusActive
Last updated in NPPESMay 20, 2025

Details

NPI
1992815591
Entity type
Organization (NPI-2)
Legal business name
Costco Wholesale Corporation
Organization subpart
No
Enumeration date
Aug 30, 2006
Certification date
May 20, 2025
Last updated
May 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPHY41243CAYes
333600000X Pharmacy––

Practice location

6750 Stanford Ranch Rd
Roseville, CA 95678

Phone 916-789-1493 · Fax 916-789-1497

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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