| NPI | 1629200456 |
|---|---|
| Doing Business As | COSTCO PHARMACY #1058 |
| Entity Type | Organization |
| Authorized Contact | RICHARD STEPHENS SVP Pharmacy 425-313-8259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y005170) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2023-11-30 |