Costco Wholesale Corporation

NPI #1780351692 in Pooler, Georgia

Provider Information

NPI Number
1780351692
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
Aug 27, 2021
Last Updated
Dec 3, 2022

Practice Location

Address
200 MOSAIC CIRCLE
City
Pooler
State
Georgia
ZIP Code
31322
Phone
(912) 348-4569

Authorized Official

Name
RICHARD STEPHENS
Title
AVP/PHARMACY
Phone
(425) 313-8259

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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