OrganizationActive
Costco Wholesale Corporation
NPI 1366552986 · Community/Retail Pharmacy · Las Vegas, NV
Provider details
- NPI number
- 1366552986
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard Stephens, Svp Pharmacy(425) 313-8259
- License
- PH02075 (NV)
Specialties & taxonomies
Suppliers
Practice location
6555 N Decatur Blvd
Las Vegas, NV 89131
Phone: (702) 415-2328
Fax: (702) 415-2325
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.