| NPI | 1114470598 |
|---|---|
| Doing Business As | SAM'S HEALTH MART PHARMACY # 2 (LONG-TERM CARE) |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN TADRUS Owner 660-263-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MO 2010042682) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2022-08-24 |