Costco Wholesale Corporation

NPI #1053700906 in Marina Del Rey, California

Provider Information

NPI Number
1053700906
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 15, 2015
Last Updated
Jun 11, 2020

Practice Location

Address
13463 WASHINGTON BLVD
ZIP Code
90292-5658
Phone
(310) 754-2001

Authorized Official

Name
ART SALAS
Title
AVP OPTICAL
Phone
(310) 754-2001

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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