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General NPI Number Information
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NPI Number | 1013322296
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Entity Type | Organization
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Legal Business Name | COSTCO WHOLESALE CORPORATION
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Dates
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Enumeration Date | 06/25/2014
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 3571 W 10400 SOUTH
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City | SOUTH JORDAN
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State | UT
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Zip | 84095
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Country | US
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Telephone | 801-523-5297
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Fax | 801-523-5288
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Provider Business Mailing Address
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Address Line | PO BOX 34300
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City | SEATTLE
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State | WA
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Zip | 98124-1300
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AVP - PHARMACY SERVICES
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Name | RICHARD STEPHENS
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Credential |
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Telephone | 425-313-8259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 9112581-1703
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License Number State | UT
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