Costco Wholesale Corporation

NPI #1396136677 in South Ogden, Utah

Provider Information

NPI Number: 1396136677
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 9, 2015
Last Updated: Feb 20, 2020

Practice Location

Address: 3656 WALL AVE
City: South Ogden
State: Utah
ZIP Code: 84405-7101
Phone: (801) 317-3953

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (801) 317-3951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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