Sam's West, Inc.
NPI #1558805465 in Castle Rock, Colorado
Provider Information
- NPI Number
- 1558805465
- Entity Type
- Organization
- Organization Name
- Sam's West, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WAL-MART STORES, INC.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Dec 12, 2016
- Last Updated
- Dec 23, 2016
Practice Location
- Address
- 5940 PROMENADE PKWY
- City
- Castle Rock
- State
- Colorado
- ZIP Code
- 80108
- Phone
- (303) 379-8039
Authorized Official
- Name
- KELSEY GENEVICH
- Title
- MANAGER, CONTRACTING AND ENROLLMENT
- Phone
- (479) 258-6724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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