| NPI | 1194170464 |
|---|---|
| Doing Business As | COSTCO PHARMACY #1232 |
| Entity Type | Organization |
| Authorized Contact | ROBERT TAKI Agmm Third Party 425-313-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 16728) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-08-03 |