Costco Wholesale Corporation
NPI #1396136149 in East Peoria, Illinois
Provider Information
- NPI Number
- 1396136149
- 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
- Feb 16, 2015
- Last Updated
- Feb 27, 2020
Practice Location
- Address
- 301 W WASHINGTON ST
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-2036
- Phone
- (309) 427-2930
Authorized Official
- Name
- ART SALAS
- Title
- AVP OPTICAL
- Phone
- (309) 427-2943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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