Provider Information for 1346837598
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COSTCO WHOLESALE CORPORATION
Other Names:Doing Business As:COSTCO PHARMACY #1389Organization Subpart: YES
NPI: 1346837598
Last Updated: 2020-12-22
Certification Date: 2020-12-22
Certification Date: 2020-12-22
Details
Name | Value | ||||||||
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NPI | 1346837598 | ||||||||
Enumeration Date | 2020-12-22 | ||||||||
NPI Type | NPI-2 Organization | ||||||||
Status | Active | ||||||||
Authorized Official Information | Name: VICTOR CURTIS Title: SVP Pharmacy Phone: 4253137206 | ||||||||
Mailing Address | PO BOX 34300 SEATTLE, WA 98124-1300 United States Phone: 425-313-8100 | Fax: | ||||||||
Primary Practice Address | 1715 CHARLES HARDY PKWY DALLAS, GA 30157-3161 United States Phone: 425-313-8100 | Fax: | ||||||||
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