OrganizationActive
Costco Wholesale Corporation
NPI 1619087244 · Community/Retail Pharmacy · West Bountiful, UT
Provider details
- NPI number
- 1619087244
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard Stephens, Svp Pharmacy(425) 313-8259
- License
- 60392771703 (UT)
Specialties & taxonomies
Suppliers
Practice location
573 W 100 N
West Bountiful, UT 84010
Phone: (801) 299-3968
Fax: (801) 299-3965
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 34300
Seattle, WA 98124-1300
Registry dates
- Enumerated
- 2006-08-30
- 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.