Provider First Line Business Practice Location Address:
202 COSTCO DR
Provider Second Line Business Practice Location Address:
COSTCO PHARMACY
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15205-4858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-490-2203
Provider Business Practice Location Address Fax Number:
412-490-2223
Provider Enumeration Date:
04/06/2012