Costco Wholesale Corporation
NPI #1003476425 in Loves Park, Illinois
Provider Information
- NPI Number
- 1003476425
- Entity Type
- Organization
- Organization Name
- Costco Wholesale Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COSTCO WHOLESALE CORPORATION
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 18, 2019
- Last Updated
- May 20, 2025
Practice Location
- Address
- 5000 STADIUM DRIVE
- City
- Loves Park
- State
- Illinois
- ZIP Code
- 61111
- Phone
- (779) 513-8407
Authorized Official
- Name
- RICHARD STEPHENS
- Title
- SVP PHARMACY
- Phone
- (425) 313-8259
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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