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General NPI Number Information
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NPI Number | 1811007438
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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 | 08/30/2006
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 222 S MARTIN L KING BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89106-4305
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Country | US
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Telephone | 702-384-5781
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Fax | 702-384-1137
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Provider Business Mailing Address
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Address Line | 222 S MARTIN L KING BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89106-4305
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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 | DIRECTOR INSURANCE PLANS
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH00896
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License Number State | NV
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Taxonomy #2
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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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