Organization
SAMS EAST INC
Active
Other names
Sams Pharmacy 10-4801
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (MGR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
10385 BIG BEND RD, RIVERVIEW, FL 33578-7414
(813) 672-4239
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
PH25257
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128349
PK
—
Enumeration date
01/03/2011
Last updated
08/29/2023
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