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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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