NPI: 1366689606 · KAPOLEI, HI 96707 · Community/Retail Pharmacy · NPI assigned 01/08/2009
| Authorized Official | STEPHENS, RICHARD (SVP PHARMACY) |
| NPI Enumeration Date | 01/08/2009 |
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 |
|---|---|---|
| 2022 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0003A | 12 | 12 | $0.00 |