Costco Wholesale Corporation

NPI #1083008122 in Memphis, Tennessee

Provider Information

NPI Number: 1083008122
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 26, 2015
Last Updated: Jun 4, 2020

Practice Location

Address: 3775 HACKS CROSS RD
City: Memphis
State: Tennessee
ZIP Code: 38125-2302
Phone: (901) 214-0052

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (901) 214-0052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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