Costco Wholesale Corporation

NPI #1245512664 in Pewaukee, Wisconsin

Provider Information

NPI Number
1245512664
Entity Type
Organization
Organization Name
Costco Wholesale Corporation
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 12, 2011
Last Updated
Feb 7, 2024

Practice Location

Address
443 PEWAUKEE RD
ZIP Code
53072
Phone
(262) 956-6701

Authorized Official

Name
RICHARD STEPHENS
Title
SVP PHARMACY
Phone
(425) 313-8259

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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