Sam'S Club Pharmacy 10-6779

LBN: Sams East Inc
Sam'S Club Pharmacy 10-6779 is an health care organization with primary practice located at 1705 S Broadway St , Moore OK 73160-5364. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sams East Inc can be contacted via phone (405) 300-6027, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
1705 S Broadway St Moore OK 73160-5364
Phone: (405) 300-6027
Fax: (405) 300-6028
Website:
Map and Directions
Authorized official contact:
Name: Levine, Laura
Phone: (479) 204-8550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 7-7154 Oklahoma

Profile Details

NPI number 1235520057
LBN Legal business name Sams East Inc
DBA Doing business as Sam'S Club Pharmacy 10-6779
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2015
Last updated Sep 10th, 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 1235520057 NPPES
Other 2150365 PK
MEDICAID 100246790L PK

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