NPI 1700996337 · live from the CMS NPI Registry
Costco Wholesale Corporation
Pharmacy, Community/Retail Pharmacy in South Ogden, UT. National Provider Identifier 1700996337, active.
NPI record
| NPI | 1700996337 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 3656 Wall Ave, South Ogden, UT 84405 |
| Practice phone | 801-317-3952 |
| Mailing address | Po Box 34300, Seattle, WA 98124 |
| Enumerated | August 30, 2006 |
| Last updated | May 22, 2025 |
| Authorized official | Richard Stephens, Svp Pharmacy |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 54157951703 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.