Costco Wholesale Corporation

NPI #1841680121 in Prescott, Arizona

Provider Information

NPI Number: 1841680121
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: Jan 26, 2015
Last Updated: Jun 11, 2020

Practice Location

Address: 3911 HWY 69
City: Prescott
State: Arizona
ZIP Code: 86301
Phone: (928) 541-2214

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (928) 541-2214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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