Sam'S Pharmacy 10-6636

LBN: Sam'S East Inc
Sam'S Pharmacy 10-6636 is an health care organization with primary practice located at 3465 Berlin Tpke , Newington CT 06111-5106. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sam'S East Inc can be contacted via phone (860) 665-7813, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
3465 Berlin Tpke Newington CT 06111-5106
Phone: (860) 665-7813
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Levine, Laura
Phone: (479) 204-8550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PCY.0002129 Connecticut

Profile Details

NPI number 1427298959
LBN Legal business name Sam'S East Inc
DBA Doing business as Sam'S Pharmacy 10-6636
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2009
Last updated Dec 22nd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427298959 NPPES
Connecticut MEDICAID 1427298959
Connecticut Other 2119282

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