OrganizationActive
Costco Wholesale Corporation
NPI 1649380262 · Community/Retail Pharmacy · Missoula, MT
Provider details
- NPI number
- 1649380262
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard Stephens, Svp Pharmacy(425) 313-8259
- License
- 738 (MT)
Specialties & taxonomies
Suppliers
Practice location
3220 N Reserve St
Missoula, MT 59808
Phone: (406) 542-3807
Fax: (406) 542-3692
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.