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 1154840346

Costco Wholesale Corporation is a Community/Retail Pharmacy in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

125 E South Airport Rd
Traverse City, MI 49686
Phone: (231) 252-7010
Fax: (231) 252-7001
Show map & directions

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

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X (MI)

Record details

NPI number1154840346
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCostco Wholesale Corporation
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
Other names Costco Pharmacy #1279; Costco Pharmacy #1279
NPI enumeratedSeptember 19, 2017
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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