Costco Wholesale Corporation
Costco Wholesale Corporation is a Pharmacy in LA Vista, Nebraska. Licensed in Nebraska. Registered with an NPI since 2016.
- Licensed in
- NE
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
12515 Portside PkwyLA Vista, NE 68128-8224
Phone: (402) 378-7408
Fax: (402) 378-7399
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 678 (NE) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1891140091 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Stephens — Agmm Third Party · (425) 313-8259 |
| Other names | Costco Pharmacy #1237 |
| NPI enumerated | April 26, 2016 |
| Last updated in NPPES | May 27, 2025 |
| Certification date | May 27, 2025 |
| Mailing address | Po Box 34300, Seattle, WA 98124-1300 |
Other providers in LA Vista
-
Csr Company, Inc
11701 Centennial Rd Ste 2AND3, LA Vista, NE 68128-5578 · (402) 738-4435