Costco Wholesale Corporation

NPI #1639816564 in Queen Creek, Arizona

Provider Information

NPI Number
1639816564
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, 2022
Last Updated
May 12, 2022

Practice Location

Address
20260 S. ELLSWORTH RD.
State
Arizona
ZIP Code
85142
Phone
(425) 313-8100

Authorized Official

Name
ART SALAS
Title
VP OPTICAL
Phone
(425) 416-5360

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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