Costco Wholesale Corporation

NPI #1972389542 in Newark, California

Provider Information

NPI Number: 1972389542
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: Sep 7, 2023
Last Updated: Oct 26, 2023

Practice Location

Address: 350 NEWPARK MALL
City: Newark
State: California
ZIP Code: 94560-5201
Phone: (510) 493-2945

Authorized Official

Name: ERIN SIEGLOCK
Title: AVP - OPTICAL
Phone: (425) 313-8087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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