Organization
HAN SAM CORP
Active
Organization
HAN SAM CORP
Active
Other names
River's Edge Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HANY SAMUEL BENJAMIN (CEO)
(949) 292-2686
Entity
Organization
Contact information
Practice address
16782 VON KARMAN AVE STE 12, IRVINE, CA 92606-2417
(949) 393-5780
(949) 393-5790
Mailing address
16782 VON KARMAN AVE STE 12, IRVINE, CA 92606-2417
(949) 393-5780
(949) 393-5790
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
51942
CA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
51942
CA
3336S0011X
Specialty Pharmacy
51942
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508315128
—
CA
Enumeration date
09/23/2016
Last updated
02/07/2025
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