Costco Wholesale Corporation

NPI #1962106963 in Longmont, Colorado

Provider Information

NPI Number: 1962106963
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: Mar 27, 2023
Last Updated: Mar 27, 2023

Practice Location

Address: 205 E KEN PRATT BLVD
City: Longmont
State: Colorado
ZIP Code: 80501-8500
Phone: (303) 827-2534

Authorized Official

Name: ART SALAS
Title: VP OPTICAL
Phone: (425) 416-5360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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