| NPI | 1265109201 |
|---|---|
| Doing Business As | COSTCO PHARMACY #1422 |
| Entity Type | Organization |
| Authorized Contact | RICHARD STEPHENS SVP Pharmacy 425-313-8259 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-11-07 |