Costco Wholesale Corporation
NPI #1700996337 in South Ogden, Utah
Provider Information
- NPI Number
- 1700996337
- Entity Type
- Organization
- Organization Name
- Costco Wholesale Corporation
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 30, 2006
- Last Updated
- May 22, 2025
Practice Location
- Address
- 3656 WALL AVE
- City
- South Ogden
- State
- Utah
- ZIP Code
- 84405
- Phone
- (801) 317-3952
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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