Organization

Costco Wholesale Corporation

May also be knows as Costco Pharmacy # 96

Community/Retail Pharmacy in Bozeman, MT(View on Map)

Legal Business Name

Costco Wholesale Corporation

Also Known As

Costco Pharmacy # 96

NPI Number

1376653998

NPI Type

Organization

Enumeration Date

08/30/2006

Specialties

(Taxonomies)

Code

3336C0003X

Primary Taxonomy

Yes

Licenses

State

Montana

License Number

875

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 34300
2505 CATRON ST

City

Seattle
Bozeman

State

WA
MT

Postal Code

98124-1300
59718

Country

US
US

Telephone Number

(425) 313-6670
(406) 585-7575

Authorized Official

Name

Victor Curtis

Title or Position

SVP PHARMACY

Telephone Number

(425) 313-7206

Identifiers

Identifier

2705739

Identifier State

Unknown

Identifier Issuer

NCPDP PROVIDER IDENTIFICATION NUMBER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/24/2018

Provider Address

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