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Organization

SAMS EAST INC

Active
Other names
SAMS PHARMACY 10-6667
Organization subpart
No

Provider details

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

Contact information

Practice address
5450 CARPENTER RD, YPSILANTI, MI 48197-9019
(734) 434-2587
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1242

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
769098
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2046795
PK
05
2366121
MI
Enumeration date
07/16/2006
Last updated
06/17/2025
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