Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Costco Wholesale Corporation

Organization Community/Retail Pharmacy · NPI 1073895496

Costco Wholesale Corporation is a Community/Retail Pharmacy in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011

Practice location Address checks out

825 Cabela Dr
Augusta, GA 30909-8202
Phone: (706) 739-1701
Fax: (706) 739-1702
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHRE009787 (GA)

Record details

NPI number1073895496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Avp Pharmacy · (425) 313-8259
Other names Costco Pharmacy # 1102
NPI enumeratedSeptember 12, 2011
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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