Costco Wholesale Corporation

NPI #1053056432 in Lake Stevens, Washington

Provider Information

NPI Number: 1053056432
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: May 1, 2022
Last Updated: May 1, 2022

Practice Location

Address: 9210 24TH ST SE
City: Lake Stevens
State: Washington
ZIP Code: 98258-8703
Phone: (425) 313-8100

Authorized Official

Name: ART SALAS
Title: VP OPTICAL
Phone: (425) 416-5360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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