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NPI Code Detail

MEDICARE: COSTCO WHOLESALE CORPORATION

MEDICARE: COSTCO WHOLESALE CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy263982MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12431651OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1295087591
Entity Type Code : Organization
Provider Name (Legal Business Name) : COSTCO WHOLESALE CORPORATION
Provider Business Mailing Address
First Line : PO BOX 34300
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1300
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2020 COMMERCE DR NW
Second Line :
City : ROCHESTER
State : MN
Zip : 55901-3246
Country : US
Telephone Number : 507-286-1870
Fax Number : 507-286-1861
Authorized Official
Title or Position : AVP - PHARMACY SERVICES
Name : RICHARD STEPHENS
Credential :
Telephone Number : 425-313-8259
Provider Enumeration Date : 10/10/2012
Last Update Date : 05/27/2025

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Directions to “COSTCO WHOLESALE CORPORATION ” Practice Location

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