Costco Wholesale Corporation
Costco Wholesale Corporation is a Community/Retail Pharmacy in LA Quinta, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
79795 Highway 111LA Quinta, CA 92253-4756
Phone: (760) 342-0656
Fax: (760) 775-0367
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PHY48311 (CA) |
|---|
Record details
| NPI number | 1164505202 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Stephens — Avp Pharmacy · (425) 313-8259 |
| Other names | Costco Pharmacy #638 |
| NPI enumerated | October 23, 2006 |
| Last updated in NPPES | May 27, 2025 |
| Certification date | May 27, 2025 |
| Mailing address | Po Box 34300, Seattle, WA 98124-1300 |