Organization
SAMS EAST INC
Active
Other names
SAMS PHARMACY 10-4982
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (MGR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
4850 ENCORE BLVD, MT PLEASANT, MI 48858-6013
(989) 773-5814
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
5301008579
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2042603
PK
—
05
—
2369420
—
MI
Enumeration date
03/14/2007
Last updated
08/30/2023
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