OrganizationActive
Costco Wholesale Corporation
NPI 1093825606 · Community/Retail Pharmacy · Waterbury, CT
Provider details
- NPI number
- 1093825606
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard Stephens, Svp Pharmacy(425) 313-8259
- License
- 1493 (CT)
Specialties & taxonomies
Suppliers
Practice location
3600 E Main St
Waterbury, CT 06705
Phone: (203) 757-9115
Fax: (203) 757-1055
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 34300
Seattle, WA 98124-1300
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.