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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us