NPI | 1740737899 |
---|---|
Doing Business As | SAM'S PHARMACY10-4828 |
Entity Type | Organization |
Authorized Contact | LAURA LEVINE Dir Healthcare Contract & Enroll 479-204-8550 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2016-09-07 |
Last Update Date | 2017-04-07 |