Costco Wholesale Corporation

NPI #1104216258 in Avondale, Arizona

Provider Information

NPI Number: 1104216258
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 28, 2015
Last Updated: Jun 11, 2020

Practice Location

Address: 10000 W MCDOWELL RD
City: Avondale
State: Arizona
ZIP Code: 85392-4803
Phone: (623) 907-5661

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (623) 907-5661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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