NPI | 1568734432 |
---|---|
Doing Business As | SAMS PHARMACY 10-6503 |
Entity Type | Organization |
Authorized Contact | LAURA LEVINE Mgr Of Gove RN Ment Contracting 479-204-8550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MS 11306/1.2) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2012-02-07 |
Last Update Date | 2013-11-16 |