| NPI | 1013322296 |
|---|---|
| Doing Business As | COSTCO PHARMACY #1019 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MASTROMONICA A VP Pharmacy Services 425-313-2892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: UT 9112581-1703) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-08-19 |