| NPI | 1629188230 |
|---|---|
| Doing Business As | COSTCO PHARMACY #1229 |
| Entity Type | Organization |
| Authorized Contact | ROBERT TAKI Agmm Pharmacy 425-313-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH14269) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2017-04-06 |