Costco Wholesale Corporation

NPI #1962892505 in Carson City, Nevada

Provider Information

NPI Number
1962892505
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 4, 2015
Last Updated
Jun 5, 2020

Practice Location

Address
700 OLD CLEAR CREEK RD
State
Nevada
ZIP Code
89705-6853
Phone
(775) 881-2501

Authorized Official

Name
ART SALAS
Title
AVP OPTICAL
Phone
(775) 881-2501

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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