Costco Wholesale Corporation

NPI #1417348798 in West Bountiful, Utah

Provider Information

NPI Number: 1417348798
Entity Type: Organization
Organization Name: Costco Wholesale Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: COSTCO WHOLESALE CORPORAITON
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 9, 2015
Last Updated: Feb 20, 2020

Practice Location

Address: 573 W 100 N
City: West Bountiful
State: Utah
ZIP Code: 84010-7018
Phone: (801) 299-3941

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (801) 299-3943

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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