Healthcare Provider Details

I. General information

NPI: 1396138301
Provider Name (Legal Business Name): COSTCO WHOLESALE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2015
Last Update Date: 03/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 W CAMERON AVE
VISALIA CA
93277-9527
US

IV. Provider business mailing address

PO BOX 35005
SEATTLE WA
98124-3405
US

V. Phone/Fax

Practice location:
  • Phone: 559-713-3449
  • Fax: 559-713-3454
Mailing address:
  • Phone: 425-313-8100
  • Fax: 425-313-6922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIAN ANTHIS
Title or Position: DIRECTOR
Credential:
Phone: 425-427-3530