Costco Wholesale Corporation

NPI #1750931044 in Eagan, Minnesota

Provider Information

NPI Number: 1750931044
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: Sep 18, 2019
Last Updated: Feb 27, 2020

Practice Location

Address: 995 BLUE GENTIAN RD
City: Eagan
State: Minnesota
ZIP Code: 55121-1542
Phone: (425) 313-6504

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (612) 439-8060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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