Organization
SAMS EAST INC
Active
Other names
Sams Pharmacy 10-6440
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 853-0515
Entity
Organization
Contact information
Practice address
579 TROY SCHENECTADY RD, LATHAM, NY 12110-2806
(518) 783-1692
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030708
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03931862
—
NY
01
—
2129922
PK
—
Enumeration date
04/11/2011
Last updated
06/16/2025
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