Costco Wholesale Corporation
NPI #1376932848 in Azusa, California
Provider Information
- NPI Number
- 1376932848
- 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
- Jan 21, 2015
- Last Updated
- Jun 11, 2020
Practice Location
- Address
- 1220 W FOOTHILL BLVD
- City
- Azusa
- State
- California
- ZIP Code
- 91702-2819
- Phone
- (626) 812-7925
Authorized Official
- Name
- ART SALAS
- Title
- AVP OPTICAL
- Phone
- (626) 812-7925
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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