Organization
SAMS EAST INC
Active
Other names
SAMS PHARMACY 10-4798
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (MGR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
284 SUMMIT SQUARE BLVD, WINSTON SALEM, NC 27105-1461
(336) 377-2830
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
08160
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0347107
—
NC
01
—
2069412
PK
—
05
—
347107
—
NC
Enumeration date
07/16/2006
Last updated
08/29/2023
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