Costco Wholesale Corporation

NPI #1619366564 in Laguna Niguel, California

Provider Information

NPI Number
1619366564
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
Jan 15, 2015
Last Updated
Jun 11, 2020

Practice Location

Address
27220 HEATHER RIDGE RD
ZIP Code
92677-3418
Phone
(949) 389-8701

Authorized Official

Name
ART SALAS
Title
AVP OPTICAL
Phone
(949) 389-8701

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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