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 1750491379

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

Licensed in
MI
In the registry since
2006

Practice location Address checks out

27118 Gratiot Ave
Roseville, MI 48066-2915
Phone: (586) 447-1436
Fax: (586) 498-1002
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 5301006751 (MI)

Record details

NPI number1750491379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Avp Pharmacy · (425) 313-8259
Other names Costco Pharmacy # 394
NPI enumeratedAugust 30, 2006
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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