NPI: 1245399617 · LIHUE, HI 96766 · Community/Retail Pharmacy · NPI assigned 12/08/2006
| Authorized Official | STEPHENS, RICHARD (SVP PHARMACY) |
| NPI Enumeration Date | 12/08/2006 |
Other providers sharing the same authorized official: STEPHENS, RICHARD
| Provider | City | State | Total Paid |
|---|---|---|---|
| COSTCO WHOLESALE CORPORATION | HONOLULU | HI | $0.00 |
| COSTCO WHOLESALE CORPORATION | KAILUA KONA | HI | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 34 | $0.00 |