Costco Wholesale Corporation

NPI #1417341801 in Southlake, Texas

Provider Information

NPI Number: 1417341801
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 24, 2015
Last Updated: Mar 4, 2020

Practice Location

Address: 2601 E STATE HIGHWAY 114
City: Southlake
State: Texas
ZIP Code: 76092-6668
Phone: (817) 749-2800

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (817) 749-2801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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