# SAM'S

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225581820
- **Authorized official:** MS. CATHY JONES (PHARMACIST)
- **Authorized official phone:** (270) 842-7710

## Contact information

- **Practice address:** 3200 KEN BALE BLVD, BOWLING GREEN, KY 42103-6025
- **Practice address phone:** (270) 781-7727
- **Practice address fax:** (270) 781-7826
- **Mailing address:** 3111 SMALLHOUSE RD, BOWLING GREEN, KY 42104-4603
- **Mailing address phone:** (270) 781-7727
- **Mailing address fax:** (270) 781-7826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 009538 | KY | Yes |

## Other

- **Enumeration date:** 07/29/2016
- **Last updated:** 07/29/2016