Costco Wholesale Corporation

NPI #1033607130 in Woodstock, Georgia

Provider Information

NPI Number: 1033607130
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: Apr 25, 2018
Last Updated: Jun 5, 2020

Practice Location

Address: 113 LINCOLN STREET
City: Woodstock
State: Georgia
ZIP Code: 30188
Phone: (770) 694-7193

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (770) 694-7193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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