| NPI | 1114130002 |
|---|---|
| Doing Business As | COSTCO PHARMACY # 1001 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MASTROMONICA A VP Pharmacy 425-313-2892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 48615) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2023-08-03 |