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 1124101282

Costco Wholesale Corporation is a Community/Retail Pharmacy in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006

Practice location Address checks out

2900 Cumberland Mall SE
Atlanta, GA 30339
Phone: (770) 431-1709
Fax: (770) 431-1706
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 PHRE009096 (GA)

Record details

NPI number1124101282
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
NPI enumeratedOctober 23, 2006
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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