Organization · Type 2 NPI

Costco Wholesale Corporation

Community/Retail Pharmacy · La Vista, NE

NPI number 1891140091 Active

Practice location

12515 Portside Pkwy
La Vista, NE 68128-8224

Fax (402) 378-7399

Mailing address

PO Box 34300
Seattle, WA 98124-1300

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003X678 (NE)

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

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About NPI 1891140091

Costco Wholesale Corporation's National Provider Identifier is 1891140091, issued on Apr 26, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in La Vista, NE. The record was last updated on May 27, 2025.