| NPI | 1427298959 |
|---|---|
| Doing Business As | SAM'S PHARMACY 10-6636 |
| 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: CT PCY.0002129) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2015-12-22 |