Costco Wholesale Corporation
NPI #1386311280 in South Windsor, Connecticut
Provider Information
- NPI Number
- 1386311280
- 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
- Aug 27, 2021
- Last Updated
- May 28, 2025
Practice Location
- Address
- 1220 TAMARACK AVE
- City
- South Windsor
- State
- Connecticut
- ZIP Code
- 06074-5572
- Phone
- (860) 474-4041
Authorized Official
- Name
- RICHARD STEPHENS
- Title
- AVP/PHARMACY
- Phone
- (425) 313-8259
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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