Costco Wholesale Corporation

NPI #1023403961 in Buford, Georgia

Provider Information

NPI Number: 1023403961
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: Mar 30, 2015
Last Updated: Jun 4, 2020

Practice Location

Address: 1550 MALL OF GEORGIA BLVD
City: Buford
State: Georgia
ZIP Code: 30519-6551
Phone: (678) 288-3009

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (678) 288-3009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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