| NPI | 1033136205 |
|---|---|
| Doing Business As | SAM'S PHARMACY 10-8142 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Mgr Of Government Contracting 479-204-8550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 8209) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2013-08-07 |