NPI | 1073895496 |
---|---|
Doing Business As | COSTCO PHARMACY # 1102 |
Entity Type | Organization |
Authorized Contact | MICHAEL MASTROMONICA A VP Pharmacy 425-313-2892 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009787) |
Enumeration Date | 2011-09-12 |
Last Update Date | 2014-08-18 |