| NPI | 1043455264 |
|---|---|
| Doing Business As | SAM'S PHARMACY 10-4992 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Mgr Of Gove RN Ment Contracting 479-204-8550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KY P07309) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2023-08-30 |