Organization
SAMS EAST INC
Active
Other names
Sams Pharmacy 10-4930
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (DIRECTOR)
(479) 204-8550
Entity
Organization
Contact information
Practice address
1177 SAMS ST, COOKEVILLE, TN 38506-4007
(479) 273-4288
(479) 277-4331
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(479) 273-4288
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5566
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150843
PK
—
Enumeration date
02/12/2015
Last updated
08/30/2023
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