Organization · Type 2 NPI

Costco Wholesale Corporation

Community/Retail Pharmacy · Brentwood, CA

NPI number 1013724178 Active

Practice location

5151 Heidorn Ranch Rd
Brentwood, CA 94513-5596

Call (925) 666-0233 Map

Fax (925) 666-0224

Mailing address

PO Box 34300
Seattle, WA 98124-1300

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

5 other providers at this address

Other community/retail pharmacy providers in Brentwood

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NPI record

NPI: 1013724178
Entity type: Organization (Type 2)
Issued: Dec 12, 2024
Last updated: Jan 21, 2025
Status: Active

Other names

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Costco Pharmacy #1662 · doing business as
Costco Pharmacy #1662 · doing business as

Authorized official

Richard Stephens, RPH
SVP Pharmacy
(425) 313-8259

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013724178

Costco Wholesale Corporation's National Provider Identifier is 1013724178, issued on Dec 12, 2024. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Brentwood, CA. The record was last updated on Jan 21, 2025.