| NPI | 1770969990 |
|---|---|
| Doing Business As | SAM'S CLUB PHARMACY 10-7676 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Director 479-204-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 30090) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2016-08-31 |