NPI 1881704401 · live from the CMS NPI Registry
Costco Wholesale Corporation
Pharmacy, Community/Retail Pharmacy in Bend, OR. National Provider Identifier 1881704401, active.
NPI record
| NPI | 1881704401 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 62207 Nw Costco Dr, Bend, OR 97703 |
| Practice phone | 541-640-8582 |
| Mailing address | Po Box 34300, Seattle, WA 98124 |
| Enumerated | August 30, 2006 |
| Last updated | October 21, 2024 |
| Authorized official | Richard Stephens, Svp Pharmacy |
| Other names | Costco Pharmacy #1696 |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | 0001290 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.