| NPI | 1891133286 |
|---|---|
| Doing Business As | SAM'S CLUB PHARMACY 10-6425 |
| Entity Type | Organization |
| Authorized Contact | DAVID BADEEN Sr Dir H&W 479-277-2611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WY R10102) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2014-03-26 |