| NPI | 1285038109 |
|---|---|
| Doing Business As | SAM'S CLUB PHARMACY 10-4857 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Dr. Healthcare & Enrollment 479-204-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH28751) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2023-08-30 |