Organization
SAMS CLUB PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD STANLEY DOUGLASS RPH (PHARMACIST)
(928) 754-3950
Entity
Organization
Contact information
Practice address
600 HIGHWAY 95, BULLHEAD CITY, AZ 86429-5007
(928) 754-3950
Mailing address
600 HIGHWAY 95, BULLHEAD CITY, AZ 86429-5007
(928) 754-3950
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
S019426
AZ
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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