NPI | 1679718894 |
---|---|
Doing Business As | SAM'S PHARMACY 10-4955 |
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: AZ Y005062) |
Enumeration Date | 2008-12-03 |
Last Update Date | 2023-08-30 |