Costco Wholesale Corporation

NPI #1831687193 in Ukiah, California

Provider Information

NPI Number: 1831687193
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: Apr 23, 2018
Last Updated: Jun 5, 2020

Practice Location

Address: 1275 AIRPORT PARK BLVD.
City: Ukiah
State: California
ZIP Code: 95482
Phone: (707) 313-8017

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (707) 313-8015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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