| NPI | 1134514391 |
|---|---|
| Doing Business As | SAM'S PHARMACY 10-6505 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Director 479-204-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 2015021516) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-11-09 |