Organization
SAMS EAST INC
Active
Other names
SAMS PHARMACY 10-6332
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 853-0515
Entity
Organization
Contact information
Practice address
1000 FRANKLIN MILLS CIR, PHILADELPHIA, PA 19154-3115
(215) 281-1631
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
PP481763
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194900000
—
PA
01
—
2082244
PK
—
Enumeration date
12/05/2007
Last updated
06/16/2025
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