NPI | 1831533199 |
---|---|
Doing Business As | SAM'S CLUB PHARMACY 10-4901 |
Entity Type | Organization |
Authorized Contact | KIMBERLY CANONIC Senior Director, Enrollment 480-277-6348 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 14647) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2013-04-17 |
Last Update Date | 2025-06-06 |