| NPI | 1508976143 |
|---|---|
| Doing Business As | COSTCO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT TAKI Director Insurance Plans 425-313-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: WA 56417) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-05-10 |