| NPI | 1316180219 |
|---|---|
| Doing Business As | SAM'S PHARMACY 10-8181 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Mgr Of Government Contracting 479-204-8550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 6142-RC) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2013-08-27 |