COSTCO WHOLESALE CORPORATION

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

COSTCO WHOLESALE CORPORATION

198 PLAZA DR
VALLEJO, CA 94591

Phone: 707-553-6402
Fax: 707-553-6417
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for COSTCO WHOLESALE CORPORATION

NPI Number 1740390343

LBN Legal business name COSTCO WHOLESALE CORPORATION

Authorized official RICHARD STEPHENS - (SVP PHARMACY)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/30/2006

Last updated 05/22/2025 - More than a year ago

Identifiers

CA	License #	PHY40374
CA	Medicaid	PHA403740
	Other	1990643	PK

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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