Organization
SAM'S CLUB PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH B BROOKE (PHARMACY MANAGER)
(810) 733-0741
Entity
Organization
Contact information
Practice address
4373 CORUNNA RD, FLINT, MI 48532-4152
(810) 733-0741
(810) 733-0997
Mailing address
4373 CORUNNA RD, FLINT, MI 48532-4152
(810) 733-0741
(810) 733-0997
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007744
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2365080
—
MI
Enumeration date
01/06/2007
Last updated
07/28/2008
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