Costco Wholesale Corporation

NPI #1871983445 in Antioch, California

Provider Information

NPI Number: 1871983445
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: Feb 3, 2015
Last Updated: Jun 5, 2020

Practice Location

Address: 2201 VERNE ROBERTS CIR
City: Antioch
State: California
ZIP Code: 94509-7911
Phone: (925) 757-6091

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (925) 757-6091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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