NPI | 1003794116 |
---|---|
Doing Business As | SAM'S PHARMACY 10-7673 |
Entity Type | Organization |
Authorized Contact | KIMBERLY CANONIC Director Of Health Care Contracting 480-277-6348 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2025-08-26 |
Last Update Date | 2025-08-26 |