Organization
SAMS EAST INC
Active
Other names
SAMS PHARMACY 10-4936
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (MGR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
5045 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2267
(304) 598-2931
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
MP0552337
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003810
—
WV
01
—
2111588
PK
—
Enumeration date
10/03/2006
Last updated
08/30/2023
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