Costco Wholesale Corporation
Costco Wholesale Corporation is a Community/Retail Pharmacy in Lodi, California. Licensed in California. Registered with an NPI since 2011.
- Licensed in
- CA
- In the registry since
- 2011
Practice location Address checks out
2680 Reynolds Ranch PkwyLodi, CA 95240-6848
Phone: (209) 366-7301
Fax: (209) 366-7302
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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 50639 (CA) |
|---|
Record details
| NPI number | 1922399419 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Stephens — Avp Pharmacy · (425) 313-8259 |
| Other names | Costco Pharmacy # 1091 |
| NPI enumerated | May 2, 2011 |
| Last updated in NPPES | May 27, 2025 |
| Certification date | May 27, 2025 |
| Mailing address | Po Box 34300, Seattle, WA 98124-1300 |
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