NPI 1083724611 · live from the CMS NPI Registry
Costco Wholesale Corporation
Pharmacy, Community/Retail Pharmacy in Sandy, UT. National Provider Identifier 1083724611, active.
NPI record
| NPI | 1083724611 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 11100 S Auto Mall Dr, Sandy, UT 84070 |
| Practice phone | 801-790-0002 |
| Mailing address | Po Box 34300, Seattle, WA 98124 |
| Enumerated | August 30, 2006 |
| Last updated | May 21, 2025 |
| Authorized official | Richard Stephens, Svp Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 2774453-1703 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.