| NPI | 1912926981 |
|---|---|
| Doing Business As | SAM'S PRESCRIPTION SHOP |
| Entity Type | Organization |
| Authorized Contact | CHARLES TERRY FINK Pharmacist Manager 816-356-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MO 5070) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 5070) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-10-31 |