Organization · Type 2 NPI

Costco Wholesale Corporation

Community/Retail Pharmacy · Queen Creek, AZ

NPI number 1073250908 Active

Practice location

20260 S. Ellsworth Rd
Queen Creek, AZ 85142

Call (480) 847-1010 Map

Fax (480) 847-1001

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 …

Other community/retail pharmacy providers in Queen Creek

See all in Queen Creek →

NPI record

NPI: 1073250908
Entity type: Organization (Type 2)
Issued: May 12, 2022
Last updated: Nov 30, 2023
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Pharmacy #1620 · doing business as
Costco Pharmacy #1620 · doing business as

Authorized official

Richard Stephens
SVP Pharmacy
(425) 313-8259

Verify this record

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.

Is this your record? How to update it.

About NPI 1073250908

Costco Wholesale Corporation's National Provider Identifier is 1073250908, issued on May 12, 2022. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Queen Creek, AZ. The record was last updated on Nov 30, 2023.