Costco Wholesale Corporation

NPI #1003207390 in Pocatello, Idaho

Provider Information

NPI Number: 1003207390
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: 305 W QUINN RD
City: Pocatello
State: Idaho
ZIP Code: 83201-4988
Phone: (208) 238-4042

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (208) 238-4052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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