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Costco Wholesale Corporation — NPI 1700555661, Avon, IN | NPI Central

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NPI 1700555661

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Costco Wholesale Corporation

NPI 1700555661 · Community/Retail Pharmacy · Avon, IN

Provider details

NPI number: 1700555661
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Richard Stephens, Avp Pharmacy(425) 313-8259

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003X
Suppliers

Practice location

8816 Dr. Charles Nelson Drive

Avon, IN 46123

Phone: (317) 286-4752

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

Po Box 34300

Seattle, WA 98124-1300

Other names (DBA / former)

Doing business as: Costco Pharmacy #1577
Doing business as: Costco Pharmacy #1577

Registry dates

Enumerated: 2021-09-13
Last updated: 2021-11-07
Certified: 2021-11-07

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