Costco Wholesale Corporation
Costco Wholesale Corporation is a Community/Retail Pharmacy in Grand Chute, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.
- Licensed in
- WI
- In the registry since
- 2015
Practice location Address checks out
5401 W Integrity WayGrand Chute, WI 54913
Phone: (920) 363-7010
Fax: (920) 363-7001
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 9346-42 (WI) |
|---|
Record details
| NPI number | 1902280092 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Stephens — Svp Pharmacy · (425) 313-7825 |
| Other names | Costco Pharmacy #1222 |
| NPI enumerated | July 17, 2015 |
| Last updated in NPPES | February 7, 2024 |
| Certification date | February 7, 2024 |
| Mailing address | Po Box 34300, Seattle, WA 98124-1300 |
Other providers in Grand Chute
-
Roundys Supermarkets Inc
2400 W Wisconsin Ave, Grand Chute, WI 54914-3109 · (920) 831-0400