Costco Wholesale Corporation

NPI #1073038683 in Woodbury, Minnesota

Provider Information

NPI Number: 1073038683
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: Aug 4, 2017
Last Updated: Feb 27, 2020

Practice Location

Address: 7070 TAMARACK RD
City: Woodbury
State: Minnesota
ZIP Code: 55125
Phone: (612) 540-5458

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (612) 540-5458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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