Costco Wholesale Corporation

NPI #1174917496 in Holbrook, New York

Provider Information

NPI Number: 1174917496
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: Mar 25, 2015
Last Updated: Mar 4, 2020

Practice Location

Address: 125 BEACON DR
City: Holbrook
State: New York
ZIP Code: 11741-4309
Phone: (631) 244-0292

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (631) 244-9275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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