| NPI | 1003249210 |
|---|---|
| Doing Business As | COSTCO PHARMACY #1163 |
| Entity Type | Organization |
| Authorized Contact | RICHARD STEPHENS SVP 425-313-8259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28737) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2024-05-14 |