Costco Wholesale Corporation
NPI #1184976508 in East Peoria, Illinois
Provider Information
- NPI Number
- 1184976508
- Entity Type
- Organization
- Organization Name
- Costco Wholesale Corporation
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 9, 2012
- Last Updated
- May 20, 2025
Practice Location
- Address
- 301 W WASHINGTON ST
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611
- Phone
- (309) 427-2931
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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