Organization
SAM'S CLUB PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM BINKLEY SMITH (PHARMACIST)
(501) 733-0228
Entity
Organization
Contact information
Practice address
1850 S DONAGHEY AVE, CONWAY, AR 72034-8659
(501) 733-0228
Mailing address
1850 S DONAGHEY AVE, CONWAY, AR 72034-8659
(501) 625-7212
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PD07386
AR
Other
Enumeration date
05/28/2016
Last updated
05/28/2016
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