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NPI Code Detail

MEDICARE: COSTCO WHOLESALE CORPORATION

MEDICARE: COSTCO WHOLESALE CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332S00000XHearing Aid EquipmentBHAD6416AZ

General Provider Information

NPI Number : 1063804771
Entity Type Code : Organization
Provider Name (Legal Business Name) : COSTCO WHOLESALE CORPORATION
Provider Business Mailing Address
First Line : PO BOX 35005
Second Line :
City : SEATTLE
State : WA
Zip : 98124-3405
Country : US
Telephone Number : 425-313-8100
Fax Number : 425-313-6922
Provider Business Practice Location Address
First Line : 4502 E OAK ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-2411
Country : US
Telephone Number : 602-808-0117
Fax Number : 602-224-4399
Authorized Official
Title or Position : DIRECTOR
Name : CHRISTIAN ANTHIS
Credential :
Telephone Number : 425-427-3530
Provider Enumeration Date : 03/04/2015
Last Update Date : 03/04/2015

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Directions to “COSTCO WHOLESALE CORPORATION ” Practice Location

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