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Costco Wholesale Corporation — NPI 1821719303, Logan, UT | NPI Central

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Costco Wholesale Corporation

NPI 1821719303 · Community/Retail Pharmacy · Logan, UT

Provider details

NPI number: 1821719303
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Parent organization: Costco Wholesale Corporation
Organization subpart: Yes
Authorized official: Richard Stephens, Svp Pharmacy(425) 313-8259

Specialties & taxonomies

Community/Retail PharmacyPrimary3336C0003X
Suppliers

Practice location

1160 N 1000 W

Logan, UT 84321-6846

Phone: (435) 915-4224

Fax: (435) 915-4215

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

Po Box 34300

Seattle, WA 98124-1300

Other names (DBA / former)

Doing business as: Costco Pharmacy #1633
Doing business as: Costco Pharmacy #1633

Registry dates

Enumerated: 2022-09-05
Last updated: 2025-05-28
Certified: 2025-05-28

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