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NPI Code Detail

MEDICARE: COSTCO WHOLESALE CORPORATION

MEDICARE: COSTCO WHOLESALE CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336M0002XMail Order Pharmacy
23336S0011XSpecialty Pharmacy

General Provider Information

NPI Number : 1619735636
Entity Type Code : Organization
Provider Name (Legal Business Name) : COSTCO WHOLESALE CORPORATION
Provider Business Mailing Address
First Line : PO BOX 34300
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1300
Country : US
Telephone Number : 425-416-1294
Fax Number : 425-313-6595
Provider Business Practice Location Address
First Line : 310 INTEGRITY DR STE 105
Second Line :
City : MADISON
State : WI
Zip : 53717-1416
Country : US
Telephone Number : 855-213-0070
Fax Number : 855-213-0125
Authorized Official
Title or Position : SVP PHARMACY
Name : RICHARD STEPHENS
Credential :
Telephone Number : 425-313-8259
Provider Enumeration Date : 03/13/2024
Last Update Date : 08/16/2024

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Directions to “COSTCO WHOLESALE CORPORATION ” Practice Location

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