Organization · NPI-2

Sam'S Club Pharmacy

Pharmacy, Community/Retail Pharmacy · Monroeville, PA

NPI number1063961803
StatusActive
Last updated in NPPESSep 21, 2016

Details

NPI
1063961803
Entity type
Organization (NPI-2)
Legal business name
Sam'S Club Pharmacy
Organization subpart
No
Enumeration date
Sep 21, 2016
Last updated
Sep 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyRP446698PAYes
3336C0003X Pharmacy, Community/Retail PharmacyRPI006932PA

Practice location

3621 William Penn Hwy
Monroeville, PA 15146-2123

Phone 412-372-4097 · Fax 412-372-4197

Mailing address

3621 William Penn Hwy
Monroeville, PA 15146-2123

Phone 412-372-4097 · Fax 412-372-4197

Authorized official

Natalie Joy Skiba
Pharmacy Manager
4123724097

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