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Provider Information for 1346837598


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COSTCO WHOLESALE CORPORATION

Other Names:  
Doing Business As: 
COSTCO PHARMACY #1389

Organization Subpart: YES

NPI: 1346837598
Last Updated: 2020-12-22
Certification Date: 2020-12-22

Details

NameValue
NPI1346837598
Enumeration Date2020-12-22
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: VICTOR CURTIS
Title: SVP Pharmacy
Phone: 4253137206
Mailing Address PO BOX 34300
SEATTLE, WA 98124-1300
United States

Phone: 425-313-8100 | Fax:
 
Primary Practice Address 1715 CHARLES HARDY PKWY
DALLAS, GA 30157-3161
United States

Phone: 425-313-8100 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 3336C0003X - Pharmacy - Community/Retail Pharmacy