Costco Wholesale Corporation

NPI #1891140091 in La Vista, Nebraska

Provider Information

NPI Number
1891140091
Entity Type
Organization
Organization Name
Costco Wholesale Corporation
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 26, 2016
Last Updated
May 27, 2025

Practice Location

Address
12515 PORTSIDE PKWY
ZIP Code
68128-8224
Phone
(402) 378-7408

Authorized Official

Name
RICHARD STEPHENS
Title
AGMM THIRD PARTY
Phone
(425) 313-8259

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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