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Organization

SAMS CLUB #6515

Active
Other names
Sams Club Optica #6515
Organization subpart
No

Provider details

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

Contact information

Practice address
PLAZA HUMACAO, CARR #3 KM 82.0, PUNTA SANTIAGO, PR 00741
(787) 285-8815
Mailing address
PLAZA HUMACAO, CARR #3 KM 82.0, PUNTA SANTIAGO, PR 00741
(787) 285-8815

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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