NPI | 1548567894 |
---|---|
Doing Business As | SAMS PHARMACY 10-6506 |
Entity Type | Organization |
Authorized Contact | LAURA LEVINE Mgr Of Gove RN Ment Contracting 479-204-8550 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHRE009747) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2011-02-23 |
Last Update Date | 2015-12-04 |