Costco Wholesale Corporation

NPI #1003207382 in Twin Falls, Idaho

Provider Information

NPI Number
1003207382
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 9, 2015
Last Updated
Feb 20, 2020

Practice Location

Address
731 POLE LINE RD
State
Idaho
ZIP Code
83301-3036
Phone
(208) 736-1550

Authorized Official

Name
ART SALAS
Title
AVP OPTICAL
Phone
(208) 736-1561

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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