Costco Wholesale Corporation
NPI #1043609514 in Montclair, California
Provider Information
- NPI Number
- 1043609514
- 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
- Jan 21, 2015
- Last Updated
- Jun 11, 2020
Practice Location
- Address
- 9404 CENTRAL AVE
- City
- Montclair
- State
- California
- ZIP Code
- 91763-2421
- Phone
- (909) 575-5002
Authorized Official
- Name
- ART SALAS
- Title
- AVP OPTICAL
- Phone
- (909) 575-5002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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