Sams Club # 6270

NPI #1194057950 in Hatillo, Puerto Rico

Provider Information

NPI Number: 1194057950
Entity Type: Organization
Organization Name: Sams Club # 6270
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 4, 2010
Last Updated: Feb 4, 2010

Practice Location

Address: CARR.#2 KM 84.2
Address 2: ESQUINA CARRIZALES
City: Hatillo
State: Puerto Rico
ZIP Code: 00659
Phone: (787) 544-7279

Authorized Official

Name: MR. RENE PABON
Title: RETAIL STRATEGIC BUSINESS DIRECTOR
Phone: (787) 653-8094

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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