OrganizationActive
Costco Wholesale Corporation
NPI 1073871075 · Community/Retail Pharmacy · Coralville, IA
Provider details
- NPI number
- 1073871075
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard Stephens, Svp Pharmacy(425) 313-8259
- License
- 1407 (IA)
Specialties & taxonomies
Suppliers
Practice location
2900 Heartland Dr
Coralville, IA 52241
Phone: (319) 545-3201
Fax: (319) 545-3202
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 34300
Seattle, WA 98124-1300
Registry dates
- Enumerated
- 2012-04-26
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.