Costco Wholesale Corporation

NPI #1700277910 in Spanish Fork, Utah

Provider Information

NPI Number
1700277910
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
Feb 10, 2015
Last Updated
Feb 20, 2020

Practice Location

Address
273 E 1000 N
State
Utah
ZIP Code
84660-5998
Phone
(801) 504-9530

Authorized Official

Name
ART SALAS
Title
AVP OPTICAL
Phone
(801) 504-9530

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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