Costco Wholesale Corporation
NPI #1477946705 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1477946705
- Entity Type
- Organization
- Organization Name
- Costco Wholesale Corporation
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 11, 2015
- Last Updated
- Feb 7, 2024
Practice Location
- Address
- 7707 94TH AVE
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158
- Phone
- (262) 597-1037
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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