Organization
COSTCO WHOLESALE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY LANE EDWARDS SR. HAS-439 (SR HEARING INSTRUMENT SPECIALIST)
(864) 297-2584
Entity
Organization
Contact information
Practice address
1021 WOODRUFF RD, GREENVILLE, SC 29607-4108
(864) 297-2584
(864) 297-2585
Mailing address
1021 WOODRUFF RD, GREENVILLE, SC 29607-4108
(864) 297-2584
(864) 297-2585
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HAS 439
SC
Other
Enumeration date
05/27/2010
Last updated
08/22/2023
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