Pharmacy Details

COSTCO WHOLESALE CORPORATION - information as of 4/25/2025 8:52:19 PM

Name
COSTCO WHOLESALE CORPORATION

Address

DBA COSTCO PHARMACY #97
13130 SE 84TH AVENUE
CLACKAMAS, OR 97015

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History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
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History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Insert			COSTCO WHOLESALE CORPORATION DBA COSTCO PHARMACY #97 13130 SE 84TH AVENUE CLACKAMAS, OR 97015	9/29/2017 6:44 AM
Addresses	Pharmacy Address	Update		COSTCO WHOLESALE CORPORATION DBA COSTCO PHARMACY #97 CLACKAMAS, OR 97015	COSTCO WHOLESALE CORPORATION DBA COSTCO PHARMACY #97 13130 SE 84TH AVENUE CLACKAMAS, OR 97015	3/28/2013 4:34 PM
Details	Comments	Update				3/28/2013 4:34 PM
Addresses	Pharmacy Address	Update		COSTCO WHOLESALER CORPORATION DBA COSTCO PHARMACY #97 13130 SE 84TH AVENUE CLACKAMAS, OR 97015	COSTCO WHOLESALE CORPORATION DBA COSTCO PHARMACY #97 CLACKAMAS, OR 97015	3/28/2013 4:34 PM
Details	Name	Update		COSTCO WHOLESALER CORPORATION DBA COSTCO PHARMACY #97	COSTCO WHOLESALE CORPORATION	3/28/2013 4:34 PM
Addresses	Pharmacy Address	Update		COSTCO WHOLESALER CORPORATION / DBA COSTCO Pharmacy #97 13130 SE 84th Ave Clackamas, OR 97015	COSTCO WHOLESALER CORPORATION DBA COSTCO PHARMACY #97 13130 SE 84TH AVENUE CLACKAMAS, OR 97015	12/5/2012 6:41 PM
Details	Name	Update		COSTCO WHOLESALER CORPORATION / DBA COSTCO Pharmacy #97	COSTCO WHOLESALER CORPORATION DBA COSTCO PHARMACY #97	12/5/2012 6:41 PM
Details	Comments	Insert				10/13/2012 12:22 AM
Details	Is Deleted	Insert			False	10/13/2012 12:22 AM
Addresses	Pharmacy Address	Insert			COSTCO WHOLESALER CORPORATION / DBA COSTCO Pharmacy #97 13130 SE 84th Ave Clackamas, OR 97015	10/13/2012 12:22 AM