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NPI 1386450815

NPI 1386450815 : COSTCO WHOLESALE CORPORATION : FLINT, MI

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General NPI Number Information
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    NPI Number           |    1386450815
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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     |    12/09/2024
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    Last Update Date     |    02/05/2025
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Provider Practice Location Address
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    Address Line         |    6200 LAFONTAINE WAY 
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    City                 |    FLINT
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    State                |    MI
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    Zip                  |    48507-4905
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    Country              |    US
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    Telephone            |    810-496-6839
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    Fax                  |    810-496-6830
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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            |    810-496-6839
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    Fax                  |    810-496-6830
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Authorized Official
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    Title or Position    |    SVP PHARMACY
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    Name                 |     RICHARD  STEPHENS 
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    Credential           |    RPH
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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       |    
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    License Number State |    
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