OrganizationActive
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
Suppliers
Practice location
8816 Dr. Charles Nelson Drive
Avon, IN 46123
Phone: (317) 286-4752
Approximate (ZIP-level) locationGet directions
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.