Organization · Type 2 NPI

Costco Wholesale Corporation

Community/Retail Pharmacy · Pooler, GA

NPI number 1780351692 Active

Practice location

200 Mosaic Circle
Pooler, GA 31322

Call (912) 348-4569 Map

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 …

2 other providers at this address

Other community/retail pharmacy providers in Pooler

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NPI record

NPI: 1780351692
Entity type: Organization (Type 2)
Issued: Aug 27, 2021
Last updated: Dec 3, 2022
Status: Active
Subpart: Yes of Costco Wholesale Corporation

Other names

<unavail>
Costco Pharmacy #1485 · doing business as
Costco Pharmacy #1485 · doing business as

Authorized official

Richard Stephens
AVP/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 1780351692

Costco Wholesale Corporation's National Provider Identifier is 1780351692, issued on Aug 27, 2021. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Pooler, GA. The record was last updated on Dec 3, 2022.