| NPI | 1164169090 |
|---|---|
| Doing Business As | COSTCO PHARMACY #1630 |
| Entity Type | Organization |
| Authorized Contact | RICHARD STEPHENS SVP Pharmacy 425-313-8259 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-05-12 |