| NPI | 1831533199 |
|---|---|
| Doing Business As | SAM'S CLUB PHARMACY 10-4901 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Manager Govt Contracting 479-204-8550 |
| 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 | 2013-10-29 |