Organization
SAMS WEST INC
Active
Organization
SAMS WEST INC
Active
Other names
SAMS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (MGR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
3500 SE CLUB BLVD, BENTONVILLE, AR 72712-5182
(479) 621-0283
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
AR20545
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161629407
—
AR
01
—
1989773
PK
—
Enumeration date
08/10/2006
Last updated
08/30/2023
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