Organization · Type 2 NPI

Costco Wholesale Corporation

Community/Retail Pharmacy · Stone Mountain, GA

NPI number 1891623989 Active

Practice location

1915 W Park Place Blvd
Stone Mountain, GA 30087

Call (678) 748-3920 Map

Fax (678) 310-1942

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 …

4 other providers at this address

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About NPI 1891623989

Costco Wholesale Corporation's National Provider Identifier is 1891623989, issued on May 11, 2026. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Stone Mountain, GA. The record was last updated on Jul 24, 2026.