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General NPI Number Information
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NPI Number | 1659504595
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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 | 08/26/2009
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 215 DEININGER CIR STE A
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City | CORONA
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State | CA
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Zip | 92880-1707
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Country | US
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Telephone | 866-443-0060
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Fax | 866-443-0066
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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 | 425-313-6670
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Fax | 425-313-6595
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Authorized Official
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Title or Position | SVP PHARMACY
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Name | RICHARD B 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 | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 49981
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License Number State | CA
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