OrganizationActive
Costco Wholesale Corporation
NPI 1255894564 · Community/Retail Pharmacy · Evansville, IN
Provider details
- NPI number
- 1255894564
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Authorized official
- Richard Stephens, Svp Pharmacy(425) 313-8259
Specialties & taxonomies
Suppliers
Practice location
1201 Cross Pointe Pl
Evansville, IN 47715-9168
Phone: (812) 909-6582
Fax: (812) 909-6573
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35005
Seattle, WA 98124-3405
Other names (DBA / former)
- Doing business as
- Costco Pharmacy #1331
- Doing business as
- Costco Pharmacy #1331
Registry dates
- Enumerated
- 2019-04-12
- Last updated
- 2025-05-21
- Certified
- 2025-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.