| NPI | 1598133449 |
|---|---|
| Doing Business As | COSTCO PHARMACY #621 |
| Entity Type | Organization |
| Authorized Contact | DAVE LOVELL Pharmacist In Charge 239-433-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 36031) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PS53638) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0202214057) | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |