| NPI | 1700270014 |
|---|---|
| Doing Business As | SAM'S CLUB PHARMACY 10-6376 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Director, Healthcare Contracting An 479-204-8550 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-08-07 |