Organization
SAMS WEST INC
Active
Other names
SAMS PHARMACY 10-4973
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (MGR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
4400 ASBURY RD, DUBUQUE, IA 52002-0406
(563) 587-0586
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1107824
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0739052
—
IA
01
—
2030424
PK
—
Enumeration date
12/27/2006
Last updated
08/30/2023
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