Costco Wholesale Corporation

NPI #1598151540 in Pleasant Prairie, Wisconsin

Provider Information

NPI Number: 1598151540
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 7, 2015
Last Updated: Feb 27, 2020

Practice Location

Address: 7707 94TH AVE
City: Pleasant Prairie
State: Wisconsin
ZIP Code: 53158-1955
Phone: (425) 313-8100

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (262) 597-1027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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