Costco Wholesale Corporation

NPI #1902296940 in St George, Utah

Provider Information

NPI Number
1902296940
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 29, 2015
Last Updated
Feb 20, 2020

Practice Location

Address
835 N 3050 E
State
Utah
ZIP Code
84790-9041
Phone
(435) 256-0003

Authorized Official

Name
ART SALAS
Title
AVP OPTICAL
Phone
(435) 256-0003

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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