| NPI | 1598184699 |
|---|---|
| Doing Business As | SAM'S PHARMACY 10-6275 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Director, Healthcare Contracti 479-204-8550 |
| 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 | 2016-10-28 |