Organization
SAMS EAST INC
Active
Other names
SAMS PHARMACY 10-8186
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 853-0515
Entity
Organization
Contact information
Practice address
440 PAYNE RD, SCARBOROUGH, ME 04074-8928
(207) 883-5553
Mailing address
440 PAYNE RD, SCARBOROUGH, ME 04074-8928
(207) 883-5553
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH50001337
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2037660
PK
—
05
—
43363300
—
ME
Enumeration date
07/07/2008
Last updated
06/18/2025
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