Costco Wholesale Corporation
NPI #1558748160 in New Berlin, Wisconsin
Provider Information
- NPI Number
- 1558748160
- Entity Type
- Organization
- Organization Name
- Costco Wholesale Corporation
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 4, 2015
- Last Updated
- Feb 7, 2024
Practice Location
- Address
- 15300 W GRANGE AVE
- City
- New Berlin
- State
- Wisconsin
- ZIP Code
- 53151
- Phone
- (262) 599-7040
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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