Organization
COSTCO WHOLESALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE MILLER (PHARMACIST)
(425) 313-9200
Entity
Organization
Contact information
Practice address
1801 10TH AVE NW, ISSAQUAH, WA 98027-5384
(425) 313-9200
Mailing address
1801 10TH AVE NW, ISSAQUAH, WA 98027-5384
(425) 313-9200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH00021094
WA
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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