| NPI | 1124138730 |
|---|---|
| Doing Business As | COSTCO PHARMACY #1318 |
| Entity Type | Organization |
| Authorized Contact | CLEOPATRA MACDOUGALL Third Party Manager 425-416-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 56135) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-07-19 |