Organization
SAMS WEST INC
Active
Other names
SAMS PHARMACY 10-4974
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (MGR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
2650 E CRAIG RD, NORTH LAS VEGAS, NV 89030-3399
(702) 399-2240
Mailing address
2650 E CRAIG RD, NORTH LAS VEGAS, NV 89030-3399
(702) 399-2240
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH02316
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487833943
—
NV
01
—
2052264
PK
—
Enumeration date
10/31/2007
Last updated
08/30/2023
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