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

Costco Wholesale Corporation

Organization Community/Retail Pharmacy · NPI 1891623989

Costco Wholesale Corporation is a Community/Retail Pharmacy in Stone Mountain, Georgia. Registered with an NPI since 2026.

In the registry since
2026
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Practice location Address checks out

1915 W Park Place Blvd
Stone Mountain, GA 30087
Phone: (678) 748-3920
Fax: (678) 310-1942
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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

Record details

NPI number1891623989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Svp Pharmacy · (425) 313-8259
Other names Costco Pharmacy #1769
NPI enumeratedMay 11, 2026
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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