NPI: 1629348636 · ISSAQUAH, WA 98027 · Community/Retail Pharmacy · NPI assigned 01/06/2012
| Authorized Official | STEPHENS, RICHARD (AVP PHARMACY) |
| NPI Enumeration Date | 01/06/2012 |
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 |
|---|---|---|
| 2018 | 197 | $15K |
| 2019 | 21 | $4K |
| 2021 | 31 | $0.00 |