OrganizationActive
Costco Wholesale Corporation
NPI 1013322296 · Community/Retail Pharmacy · South Jordan, UT
Provider details
- NPI number
- 1013322296
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard Stephens, Avp - Pharmacy Services(425) 313-8259
- License
- 9112581-1703 (UT)
Specialties & taxonomies
Suppliers
Practice location
3571 W 10400 South
South Jordan, UT 84095
Phone: (801) 523-5297
Fax: (801) 523-5288
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 34300
Seattle, WA 98124-1300
Other names (DBA / former)
- Doing business as
- Costco Pharmacy #1019
Registry dates
- Enumerated
- 2014-06-25
- Last updated
- 2025-05-27
- Certified
- 2025-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.