Organization
SAMS EAST INC
Active
Other names
SAMS PHARMACY 10-4817
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (MGR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
5940 TRUSSVILLE CROSSINGS BLVD, BIRMINGHAM, AL 35235-8607
(205) 655-7324
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
112502
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003565
—
AL
01
—
1995325
PK
—
Enumeration date
07/17/2006
Last updated
08/29/2023
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