Organization
SAM'S CLUB #4806
Active
Other names
Sam's Optica #4806
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENE PABON (RETAIL BUSINESS STRATEGIC DIRECTOR)
(787) 653-8094
Entity
Organization
Contact information
Practice address
CARR #3 KM 15.2, BO. CANOVANILLA, CAROLINA, PR 00979
(787) 474-7278
(787) 757-4795
Mailing address
CARR#3 KM15.2, BO. CANOVANILLA, CAROLINA, PR 00979
(787) 474-7278
(787) 757-4795
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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