Costco Wholesale Corporation

NPI #1144611997 in Baxter, Minnesota

Provider Information

NPI Number
1144611997
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
Feb 16, 2015
Last Updated
Feb 27, 2020

Practice Location

Address
13650 ELDER DR
City
Baxter
ZIP Code
56425-8818
Phone
(218) 855-5740

Authorized Official

Name
ART SALAS
Title
AVP OPTICAL
Phone
(218) 855-5740

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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