NPI 1821719303 · live from the CMS NPI Registry
Costco Wholesale Corporation
Pharmacy, Community/Retail Pharmacy in Logan, UT. National Provider Identifier 1821719303, active.
NPI record
| NPI | 1821719303 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1160 N 1000 W, Logan, UT 84321 |
| Practice phone | 435-915-4224 |
| Mailing address | Po Box 34300, Seattle, WA 98124 |
| Enumerated | September 5, 2022 |
| Last updated | May 28, 2025 |
| Authorized official | Richard Stephens, Svp Pharmacy |
| Other names | Costco Pharmacy #1633 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.