Costco Wholesale Corporation

NPI #1477944502 in Roseville, Michigan

Provider Information

NPI Number: 1477944502
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 11, 2015
Last Updated: Feb 26, 2020

Practice Location

Address: 27118 GRATIOT AVE
City: Roseville
State: Michigan
ZIP Code: 48066-2915
Phone: (586) 447-0191

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (586) 447-8567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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