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SAM'S CLUB PHARMACY NPI 1225186471


NPI Information

NPI: 1225186471
Provider Name: SAM'S CLUB PHARMACY
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 52D2261833

Address:
4373 CORUNNA RD
FLINT, MI
ZIP 48532
Phone: (810) 733-0741
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SAM'S CLUB PHARMACY is a community/retail pharmacy pharmacy in Flint, MI. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. SAM'S CLUB PHARMACY NPI is 1225186471. The provider is registered as an organization entity type.

The provider's business location address is:

4373 CORUNNA RD
FLINT, MI
ZIP 48532-152
Phone: (810) 733-0741
Fax: (810) 733-0997

The provider's authorized official is Sarah B Brooke .
The authorized official title is Pharmacy Manager and has the following contact phone number (810) 733-0741.

The CLIA number assigned to this NPI record is 52D2261833 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2007 and was last updated on 7/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy5301007744MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11250150093MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
22365080MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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