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Contact Information

COSTCO WHOLESALE CORPORATION
2700 POTOMAC MILLS CIR
STE 200
WOODBRIDGE, VA22192
 Phone: 703-490-7409
 Fax: 703-490-7406
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COSTCO WHOLESALE CORPORATION

NPI Number 1063534493
LBN Legal business name COSTCO WHOLESALE CORPORATION
Authorized official RICHARD STEPHENS - (SVP PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 04/05/2007
Last updated 05/20/2025 - More than a year ago
Identifiers
VA License # 0201004150
Other 4839962 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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