OrganizationActive
Costco Wholesale Corporation
NPI 1790667632 · Community/Retail Pharmacy · Indian Land, SC
Provider details
- NPI number
- 1790667632
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard Stephens, Svp Pharmacy(425) 313-8259
Specialties & taxonomies
Suppliers
Practice location
8800 Charlotte Hwy
Indian Land, SC 29707
Phone: (803) 228-7745
Fax: (803) 381-9272
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 34300
Seattle, WA 98124-1300
Other names (DBA / former)
- Doing business as
- Costco Pharmacy #1714
Registry dates
- Enumerated
- 2025-07-22
- Last updated
- 2025-10-20
- Certified
- 2025-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.