Organization
COSTCO WHOLESALE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRNA AMOY PEART PHARMD (PHARMACIST)
(345) 559-9619
Entity
Organization
Contact information
Practice address
4646 BRONX BLVD, BRONX, NY 10470-1449
(347) 559-9619
Mailing address
4646 BRONX BLVD, BRONX, NY 10470-1449
(347) 559-9619
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
I057884
NY
Other
Enumeration date
01/27/2016
Last updated
08/22/2023
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