Costco Wholesale Corporation

NPI #1518312719 in La Vista, Nebraska

Provider Information

NPI Number: 1518312719
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: Apr 26, 2016
Last Updated: Feb 27, 2020

Practice Location

Address: 12515 PORTSIDE PKWY
City: La Vista
State: Nebraska
ZIP Code: 68128
Phone: (425) 313-8100

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (402) 378-7398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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