| NPI | 1245623677 |
|---|---|
| Doing Business As | COSTCO PHARMACY #1200 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MASTROMONICA A VP Pharmacy Services 425-313-2892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KS 2-13169) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-05-12 |