Costco Wholesale Corporation

NPI #1487142584 in Woodstock, Georgia

Provider Information

NPI Number
1487142584
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
Apr 25, 2018
Last Updated
May 21, 2025

Practice Location

Address
113 LINCOLN STREET
State
Georgia
ZIP Code
30188
Phone
(770) 694-7203

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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