Costco Wholesale Corporation
NPI #1548608821 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1548608821
- Entity Type
- Organization
- Organization Name
- Costco Wholesale Corporation
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 10, 2013
- Last Updated
- May 20, 2025
Practice Location
- Address
- 5110 VALUE DR
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46808
- Phone
- (260) 481-1110
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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