Organization
SAMS EAST INC
Active
Other names
SAMS PHARMACY 10-6406
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 853-0515
Entity
Organization
Contact information
Practice address
1580 MILITARY RD, NIAGARA FALLS, NY 14304-4704
(716) 298-1580
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2069733
PK
—
05
—
2941871
—
NY
Enumeration date
08/09/2007
Last updated
06/16/2025
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