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

Costco Wholesale Corporation

Organization Pharmacy · NPI 1396855995

Costco Wholesale Corporation is a Pharmacy in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

17550 N 79th Ave
Glendale, AZ 85308-8711
Phone: (623) 776-4002
Fax: (623) 776-4021
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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 2656 (AZ)
Pharmacy Taxonomy 333600000X

Record details

NPI number1396855995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Svp · (425) 313-8259
Other names Costco Pharmacy; Costco Pharmacy #674
NPI enumeratedAugust 30, 2006
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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