Costco Wholesale Corporation

NPI #1063899680 in New Berlin, Wisconsin

Provider Information

NPI Number: 1063899680
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 4, 2015
Last Updated: Feb 27, 2020

Practice Location

Address: 15300 WEST GRANGE AVENUE
City: New Berlin
State: Wisconsin
ZIP Code: 53151
Phone: (425) 313-8100

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (262) 599-7043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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