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Organization

SAMS EAST INC

Active
Other names
SAMS PHARMACY 10-8222
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 853-0515
Entity
Organization

Contact information

Practice address
3060 FRANKLIN TER, JOHNSON CITY, TN 37604-4123
(423) 282-2124
(423) 282-2285
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
4403
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2095182
PK
Enumeration date
04/19/2007
Last updated
06/17/2025
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