Costco Wholesale Corporation

NPI #1114474574 in Lutz, Florida

Provider Information

NPI Number: 1114474574
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: Sep 2, 2016
Last Updated: Apr 7, 2020

Practice Location

Address: 2225 GRAND CYPRESS DRIVE
City: Lutz
State: Florida
ZIP Code: 33559
Phone: (813) 279-7031

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (813) 279-7031

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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