| NPI | 1659987584 |
|---|---|
| Doing Business As | SAM'S HEALTH MART PHARMACY # 1 (LONG TERM CARE) |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN S TADRUS Officer 660-263-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2022-08-24 |