Organization
SAMS EAST INC
Active
Other names
SAMS PHARMACY 10-4840
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (MGR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
3900 DEERFIELD DR, JANESVILLE, WI 53546-4431
(608) 741-2391
(608) 741-2394
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8692-42
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2110952
PK
—
05
—
33293800
—
WI
Enumeration date
10/13/2006
Last updated
08/29/2023
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