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Organization

SAMS CLUB #6690

Active
Other names
Sams Club Optical #6690
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RENE PABON (RETAIL STRATEGIC BUSINESS DIRECTOR)
(787) 653-8094
Entity
Organization

Contact information

Practice address
2180 AVE. EDUARDO RUBERTE, BO. PAMPANOS, PONCE, PR 00732
(787) 844-7524
(787) 812-1825
Mailing address
2180 AVE. EDUARDO RUBERTE, BO. PAMPANOS, PONCE, PR 00732
(787) 844-7524
(787) 812-1825

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
01/28/2010
Last updated
01/28/2010
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