Costco Wholesale Corporation

LBN: Costco Wholesale Corporation
Costco Wholesale Corporation is an health care organization with primary practice located at 4605 Morena Blvd , San Diego CA 92117. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Costco Wholesale Corporation can be contacted via phone (858) 581-4550, or through Stephens, Richard via phone (425) 313-8259.

Contact Information

Primary practice address
4605 Morena Blvd San Diego CA 92117
Phone: (858) 581-4550
Fax: (858) 581-4424
Website:
Map and Directions
Authorized official contact:
Name: Stephens, Richard
Phone: (425) 313-8259

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY39751 California

Profile Details

NPI number 1588774194
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as
Authorized official Stephens, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated May 20th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588774194 NPPES
California MEDICAID PHA397510
California Other 0589854

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