Costco Wholesale Corporation

NPI #1023409158 in Madison Heights, Michigan

Provider Information

NPI Number: 1023409158
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 11, 2015
Last Updated: Feb 26, 2020

Practice Location

Address: 30550 STEPHENSON HWY
City: Madison Heights
State: Michigan
ZIP Code: 48071-1611
Phone: (248) 616-0048

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (248) 616-0126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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