Costco Wholesale Corporation

NPI #1194119420 in Rego Park, New York

Provider Information

NPI Number: 1194119420
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 25, 2015

Practice Location

Address: 6135 JUNCTION BLVD
City: Rego Park
State: New York
ZIP Code: 11374-2771
Phone: (718) 760-2180

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (425) 313-6690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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