| NPI | 1336251339 |
|---|---|
| Doing Business As | SAM'S HEALTH MART PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN TADRUS Owner 660-263-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 004390) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-09-14 |