NPI | 1396970489 |
---|---|
Doing Business As | SAM'S PHARMACY 10-6331 |
Entity Type | Organization |
Authorized Contact | LAURA LEVINE Mgr Of Government Contracting 479-204-8550 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 8932-42) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2009-05-19 |
Last Update Date | 2016-07-29 |