Individual
ANN SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-0000
Mailing address
6744 ELIOT AVE, FLUSHING, NY 11379-1129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP454481
PA
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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