NPI | 1316287998 |
---|---|
Doing Business As | SAM'S PHARMACY 10-4871 |
Entity Type | Organization |
Authorized Contact | LAURA LEVINE Manager, Gov't Contracting 479-204-8550 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 12013/1.2) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2013-02-19 |
Last Update Date | 2023-08-24 |