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NPI 1902916521 · live from the CMS NPI Registry

Costco Wholesale Corporation

Pharmacy, Community/Retail Pharmacy in Henderson, NV. National Provider Identifier 1902916521, active.

NPI record

NPI1902916521 Type 2 · organization
StatusActive
Primary specialtyPharmacy, Community/Retail Pharmacy 3336C0003X
Practice location791 Marks St, Henderson, NV 89014
Practice phone702-352-2030
Mailing addressPo Box 34300, Seattle, WA 98124
EnumeratedAugust 30, 2006
Last updatedMay 22, 2025
Authorized officialRichard Stephens, Svp Pharmacy

Taxonomies and licenses

TaxonomyCodeLicense
Pharmacy, Community/Retail Pharmacy primary3336C0003X0825 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.