Costco Wholesale Corporation
Costco Wholesale Corporation is a Community/Retail Pharmacy in Fontana, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
16505 Sierra Lakes PkwyFontana, CA 92336
Phone: (909) 770-5648
Fax: (909) 770-5645
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PHY48304 (CA) |
|---|
Record details
| NPI number | 1255414397 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Stephens — Svp Pharmacy · (425) 313-8259 |
| NPI enumerated | October 23, 2006 |
| Last updated in NPPES | May 20, 2025 |
| Certification date | May 20, 2025 |
| Mailing address | Po Box 34300, Seattle, WA 98124-1300 |
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Kaiser Foundation Health Plan Inc
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