SAM'S PROFESSIONAL PHARMACY, INC
Medical Equipment Supplier Yellow Pages
Barbourville, Kentucky
Provider NPI: 1497828578
Organization Information:Organization Name: SAM'S PROFESSIONAL PHARMACY, INC
Practice Location:
2 KNOX PLZ BARBOURVILLE, KY 40906 US
Tel: 606-546-3317 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2 KNOX PLZ BARBOURVILLE, KY 40906 US
Tel: 606-546-3317 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | KY | P06975 |
Y | 333600000X | Suppliers Pharmacy | KY | P06975 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
5400829700 | KY | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin