Costco Wholesale Corporation

NPI #1457746398 in Brookhaven, Georgia

Provider Information

NPI Number
1457746398
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 30, 2015
Last Updated
Jun 4, 2020

Practice Location

Address
500 BROOKHAVEN AVE NE
State
Georgia
ZIP Code
30319-3291
Phone
(404) 460-1915

Authorized Official

Name
ART SALAS
Title
AVP OPTICAL
Phone
(404) 460-1915

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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