Costco Wholesale Corporation
NPI #1619087244 in West Bountiful, Utah
Provider Information
- NPI Number
- 1619087244
- Entity Type
- Organization
- Organization Name
- Costco Wholesale Corporation
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 30, 2006
- Last Updated
- May 21, 2025
Practice Location
- Address
- 573 W 100 N
- City
- West Bountiful
- State
- Utah
- ZIP Code
- 84010
- Phone
- (801) 299-3968
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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