Organization
SAMS EAST INC
Active
Organization
SAMS EAST 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
2025 S SOUTHWEST LOOP 323, TYLER, TX 75701-0763
(903) 597-1863
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
21271
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17012601
—
TX
01
—
2096527
PK
—
05
—
470141
—
TX
Enumeration date
07/16/2006
Last updated
08/24/2023
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