NPI | 1578911772 |
---|---|
Doing Business As | SAM'S PHARMACY 10-4872 |
Entity Type | Organization |
Authorized Contact | LAURA LEVINE Dir Healthcare Contract&Enrol 479-204-8550 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 16700) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2016-05-27 |
Last Update Date | 2023-08-29 |