| NPI | 1649663972 |
|---|---|
| Doing Business As | COSTCO PHARMACY #1192 |
| Entity Type | Organization |
| Authorized Contact | ROBERT TAKI Agmm 425-313-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AL 114479) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2016-10-26 |