Healthcare Provider Details
I. General information
NPI: 1427744713
Provider Name (Legal Business Name): COSTCO WHOLESALE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2023
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4741 AIRPORT WAY
DENVER CO
80239-5999
US
IV. Provider business mailing address
PO BOX 34300
SEATTLE WA
98124-1300
US
V. Phone/Fax
- Phone: 303-957-3510
- Fax: 303-957-3501
- Phone: 425-416-1294
- Fax: 425-313-6595
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
STEPHENS
Title or Position: SVP PHARMACY
Credential: RPH
Phone: 425-313-8259