Organization · NPI-2

Sams Club Pharmacy

Pharmacy, Community/Retail Pharmacy · Bullhead City, AZ

NPI number1659752145
StatusActive
Last updated in NPPESJun 10, 2015

Details

NPI
1659752145
Entity type
Organization (NPI-2)
Legal business name
Sams Club Pharmacy
Organization subpart
No
Enumeration date
Jun 10, 2015
Last updated
Jun 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyS019426AZYes

Practice location

600 Highway 95
Bullhead City, AZ 86429-5007

Phone 928-754-3950

Mailing address

600 Highway 95
Bullhead City, AZ 86429-5007

Phone 928-754-3950

Authorized official

Richard Stanley Douglass
Pharmacist
9287543950

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