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 1922260488

Costco Wholesale Corporation is a Community/Retail Pharmacy in Maplewood, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008

Practice location Address checks out

1431 Beam Ave
Maplewood, MN 55109-1064
Phone: (612) 486-1747
Fax: (612) 486-1744
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 263228 (MN)

Record details

NPI number1922260488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Stephens — Avp Pharmacy · (425) 313-8259
Other names Costco Pharmacy # 1021
NPI enumeratedJune 26, 2008
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing addressPo Box 34300, Seattle, WA 98124-1300

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