| NPI | 1457094120 |
|---|---|
| Doing Business As | COSTCO PHARMACY #1614 |
| Entity Type | Organization |
| Authorized Contact | RICHARD STEPHENS SVP Pharmacy 425-313-8100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2024-05-14 |