Costco Wholesale Corporation

NPI #1629468764 in Poway, California

Provider Information

NPI Number: 1629468764
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 28, 2015
Last Updated: Jun 11, 2020

Practice Location

Address: 12155 TECH CENTER DR
City: Poway
State: California
ZIP Code: 92064-7156
Phone: (858) 848-2451

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (858) 848-2451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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