Provider Information for 1700996337
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COSTCO WHOLESALE CORPORATION
Organization Subpart: NO
NPI: 1700996337
Last Updated: 2018-07-24
Certification Date:
Certification Date:
Details
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NPI | 1700996337 | ||||||||
Enumeration Date | 2006-08-30 | ||||||||
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: 425-313-6670 | Fax:425-313-6595 | ||||||||
Primary Practice Address | 3656 WALL AVE SOUTH OGDEN, UT 84405 United States Phone: 801-317-3952 | Fax:801-317-3973 | ||||||||
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