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Organization

SAMS EAST INC

Active
Other names
Sam's Pharmacy 10-4836
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA LEVINE (DIR HEALTHCARE CONTRACT & ENRO)
(479) 204-8550
Entity
Organization

Contact information

Practice address
1900 OXFORD EXCHANGE BLVD, OXFORD, AL 36203-3487
(256) 342-0130
Mailing address
702 SW 8TH ST, MAILSTOP 0445, BENTONVILLE, AR 72716-0445
(479) 277-2500
(479) 277-4331

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
114378
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2145512
PK
Enumeration date
03/29/2014
Last updated
08/29/2023
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