| NPI | 1861808016 |
|---|---|
| Doing Business As | SAM'S CLUB PHARMACY 10-6181 |
| Entity Type | Organization |
| Authorized Contact | LAURA LEVINE Dir. Healthcare Contracting 479-204-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NE 3033) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2015-12-22 |