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
3610 SAINT MICHAEL DR, TEXARKANA, TX 75503-2341
(903) 838-0597
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
27516
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197038407
—
AR
01
—
2130769
PK
—
05
—
470011
—
TX
Enumeration date
06/16/2011
Last updated
08/29/2023
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