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General NPI Number Information
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NPI Number | 1225589856
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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 | 10/19/2016
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 1255 NE 48TH AVE
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City | HILLSBORO
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State | OR
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Zip | 97124-5008
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Country | US
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Telephone | 503-681-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 14716 SW BEARD RD APT 309
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City | BEAVERTON
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State | OR
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Zip | 97007-6200
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Country | US
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Telephone | 602-821-5434
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | RICHARD STEPHENS
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Credential | PHARMD
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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 | 0015475
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License Number State | OR
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