Costco Wholesale Corporation

NPI #1861881336 in San Dimas, California

Provider Information

NPI Number
1861881336
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 21, 2015
Last Updated
Jun 11, 2020

Practice Location

Address
520 N LONE HILL AVE
ZIP Code
91773-1725
Phone
(909) 962-5518

Authorized Official

Name
ART SALAS
Title
AVP OPTICAL
Phone
(909) 962-5518

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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