Costco Wholesale Corporation

NPI #1194110957 in Grafton, Wisconsin

Provider Information

NPI Number: 1194110957
Entity Type: Organization
Organization Name: Costco Wholesale Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: COSTCO WHOLESALE CORPORATION
Primary Specialty: Hearing Aid Equipment
Enumeration Date: Mar 30, 2015
Last Updated: Mar 30, 2015

Practice Location

Address: 950 PORT WASHINGTON RD
City: Grafton
State: Wisconsin
ZIP Code: 53024-9201
Phone: (262) 204-1074

Authorized Official

Name: CHRISTIAN ANTHIS
Title: DIRECTOR
Phone: (425) 427-3530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hearing Aid Equipment	332S00000X	Primary

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