Costco Wholesale Corporation

NPI #1003207234 in Missoula, Montana

Provider Information

NPI Number: 1003207234
Entity Type: Organization
Organization Name: Costco Wholesale Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: COSTCO WHOLESALE CORPORATION
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 10, 2015
Last Updated: Feb 20, 2020

Practice Location

Address: 3220 N RESERVE ST
City: Missoula
State: Montana
ZIP Code: 59808-1556
Phone: (406) 543-6445

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (406) 728-7371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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