Costco Wholesale Corporation
NPI #1720472079 in Glen Allen, Virginia
Provider Information
- NPI Number
- 1720472079
- 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
- Mar 25, 2015
- Last Updated
- Mar 6, 2020
Practice Location
- Address
- 9650 W BROAD ST
- City
- Glen Allen
- State
- Virginia
- ZIP Code
- 23060-4115
- Phone
- (804) 727-3050
Authorized Official
- Name
- ART SALAS
- Title
- AVP OPTICAL
- Phone
- (804) 273-0937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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