| NPI | 1306863691 |
|---|---|
| Doing Business As | SAM'S PHARMACY 10-8184 |
| Doing Business As | SAMS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SARAH LITTLE Director Provider Enrollment 479-277-2500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 54014456) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2019-08-27 |