NPI | 1619087210 |
---|---|
Doing Business As | COSTCO PHARMACY #428 |
Entity Type | Organization |
Authorized Contact | MICHAEL MASTROMONICA A VP Pharmacy 425-313-2892 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY41651) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2014-08-14 |