Organization
SAMS EAST INC
Active
Other names
Sam's Pharmacy 10-4903
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LEVINE (MGR GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
941 GRINNELL ST, FALL RIVER, MA 02721-5215
(774) 627-3458
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
DS89890
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110022202D
—
MA
01
—
2141546
PK
—
Enumeration date
08/06/2013
Last updated
12/31/2015
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