Costco Wholesale Corporation

NPI #1033962063 in Mount Juliet, Tennessee

Provider Information

NPI Number
1033962063
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 9, 2024
Last Updated
Apr 9, 2024

Practice Location

Address
100 LEGACY POINTE BLVD
ZIP Code
37122-2497
Phone
(425) 313-8100

Authorized Official

Name
ERIN SIEGLOCK
Title
AVP - OPTICAL
Phone
(425) 313-8087

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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