| NPI | 1316330624 |
|---|---|
| Doing Business As | SAM'S PHARMACY 10-8189 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Dir Healthcare Contrac & Enrol 479-204-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV MP0552415) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-09-09 |