NPI | 1598184699 |
---|---|
Doing Business As | SAM'S PHARMACY 10-6275 |
Entity Type | Organization |
Authorized Contact | MATTHEW MCMULLIN Director 479-371-8711 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KS 2-13032) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2014-04-16 |
Last Update Date | 2024-06-03 |