Costco Wholesale Corporation

NPI #1508488669 in Idaho Falls, Idaho

Provider Information

NPI Number
1508488669
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
May 12, 2020
Last Updated
May 12, 2020

Practice Location

Address
2495 E LINCOLN RD
State
Idaho
ZIP Code
83401-2203
Phone
(425) 313-6504

Authorized Official

Name
ART SALAS
Title
AVP OPTICAL
Phone
(425) 313-6690

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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