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Costco Wholesale Corporation — NPI 1689221780, East Lyme, CT | NPI Central

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NPI 1689221780

OrganizationActive

Costco Wholesale Corporation

NPI 1689221780 · Community/Retail Pharmacy · East Lyme, CT

Provider details

NPI number: 1689221780
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Richard Stephens, Sr Vp Pharmacy(425) 313-8259

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003X
Suppliers

Practice location

284 Flanders Rd

East Lyme, CT 06333-1710

Phone: (860) 691-9657

Fax: (860) 691-9648

Approximate (ZIP-level) locationGet directions

More CT providers

Mailing address

Po Box 34300

Seattle, WA 98124-1300

Other names (DBA / former)

Doing business as: Costco Pharmacy #1372
Doing business as: Costco Pharmacy #1372

Registry dates

Enumerated: 2019-08-22
Last updated: 2025-05-20
Certified: 2025-05-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.