| NPI | 1679718894 |
|---|---|
| Doing Business As | SAM'S PHARMACY 10-4955 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Mgr Of Government 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 |