Provider Demographics
NPI:1073269221
Name:SAMSON DRUGS, INC
Entity Type:Organization
Organization Name:SAMSON DRUGS, INC
Other - Org Name:SAMSON DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BOOTH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:334-898-1607
Mailing Address - Street 1:7 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:SAMSON
Mailing Address - State:AL
Mailing Address - Zip Code:36477-1101
Mailing Address - Country:US
Mailing Address - Phone:334-898-1607
Mailing Address - Fax:334-684-2273
Practice Address - Street 1:7 N BROAD ST
Practice Address - Street 2:
Practice Address - City:SAMSON
Practice Address - State:AL
Practice Address - Zip Code:36477-1101
Practice Address - Country:US
Practice Address - Phone:334-898-2115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy