Costco Wholesale Corporation

NPI #1366222002 in Eau Claire, Wisconsin

Provider Information

NPI Number: 1366222002
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: Oct 2, 2023
Last Updated: Oct 21, 2023

Practice Location

Address: 1420 BLACK AVE
City: Eau Claire
State: Wisconsin
ZIP Code: 54703-1354
Phone: (715) 598-6755

Authorized Official

Name: ERIN SIEGLOCK
Title: AVP - OPTICAL
Phone: (425) 313-8087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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