| NPI | 1760939128 |
|---|---|
| Doing Business As | COSTCO PHARMACY #1249 |
| Entity Type | Organization |
| Authorized Contact | CLEOPATRA MACDOUGALL Third Party Manager 425-416-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30534) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2017-01-18 |