Organization
SAMS-Y-INC
Active
Organization
SAMS-Y-INC
Active
Other names
Sams Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN JAY YAGODA RPH (PHARMACIST)
(313) 493-1400
Entity
Organization
Contact information
Practice address
14200 FENKELL ST, DETROIT, MI 48227-3217
(313) 493-1400
(313) 493-1633
Mailing address
14200 FENKELL ST, DETROIT, MI 48227-3217
(313) 493-1400
(313) 493-1633
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2516320
—
MI
Enumeration date
10/17/2006
Last updated
03/19/2009
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