NPI | 1275866766 |
---|---|
Doing Business As | COSTCO PHARMACY # 1030 |
Entity Type | Organization |
Authorized Contact | MICHAEL MASTROMONICA A VP Pharmacy 425-313-2892 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CO PDO.0000000786) |
Enumeration Date | 2009-09-15 |
Last Update Date | 2014-08-18 |