Costco Wholesale Corporation
NPI #1093825606 in Waterbury, Connecticut
Provider Information
- NPI Number
- 1093825606
- Entity Type
- Organization
- Organization Name
- Costco Wholesale Corporation
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 30, 2006
- Last Updated
- May 22, 2025
Practice Location
- Address
- 3600 E MAIN ST
- City
- Waterbury
- State
- Connecticut
- ZIP Code
- 06705
- Phone
- (203) 757-9115
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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