Costco Wholesale Corporation
Hearing Aid Equipment in Gilbert, AZ. Organization (NPI-2).
NPI number1376936070
StatusActive
Last updated in NPPESMar 5, 2015
Details
- NPI
- 1376936070
- Entity type
- Organization (NPI-2)
- Legal business name
- Costco Wholesale Corporation
- Organization subpart
- Yes
- Enumeration date
- Mar 5, 2015
- Last updated
- Mar 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332S00000X | Hearing Aid Equipment | BHAD6203 | AZ | Yes |
Other names
- Costco Hearing Aid #644 (Doing Business As)
Practice location
2887 S Market StGilbert, AZ 85295-1303
Phone 480-366-3974 · Fax 480-366-3975
Mailing address
Po Box 35005Seattle, WA 98124-3405
Phone 425-313-8100 · Fax 425-313-6922
Authorized official
Christian Anthis
Director
4254273530
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