| NPI | 1336582097 |
|---|---|
| Doing Business As | SAM'S PHARMACY 10-6443 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Mgr Gove RN Ment Contracting 479-204-8550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 11519) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-12-19 |