| NPI | 1174605950 |
|---|---|
| Doing Business As | COSTCO PHARMACY #630 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MASTROMONICA A VP Pharmacy 425-313-2892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 4318) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2014-08-15 |