Costco Wholesale Corporation

NPI #1962179879 in Pooler, Georgia

Provider Information

NPI Number: 1962179879
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: Aug 27, 2021
Last Updated: Aug 27, 2021

Practice Location

Address: 200 MOSAIC CIRCLE
City: Pooler
State: Georgia
ZIP Code: 31322
Phone: (425) 313-8100

Authorized Official

Name: ART SALAS
Title: AVP OPTICAL
Phone: (425) 313-6690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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