Costco Wholesale Corporation

NPI #1518351659 in Farragut, Tennessee

Provider Information

NPI Number
1518351659
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
10745 KINGSTON PIKE
ZIP Code
37934-3002
Phone
(865) 218-7700

Authorized Official

Name
ART SALAS
Title
AVP OPTICAL
Phone
(865) 218-7700

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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