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Provider Information for 1700996337


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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COSTCO WHOLESALE CORPORATION

Organization Subpart: NO

NPI: 1700996337
Last Updated: 2018-07-24
Certification Date:

Details

NameValue
NPI1700996337
Enumeration Date2006-08-30
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: 425-313-6670 | Fax:425-313-6595
 
Primary Practice Address 3656 WALL AVE
SOUTH OGDEN, UT 84405
United States

Phone: 801-317-3952 | Fax:801-317-3973
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)4610021NCPDP Provider Identification Number
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyUT54157951703