Sam'S Pharmacy 10-8189

LBN: Sams East Inc
Sam'S Pharmacy 10-8189 is an health care organization with primary practice located at 200 Emily Dr , Clarksburg WV 26301-5500. 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 (304) 918-6056, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
200 Emily Dr Clarksburg WV 26301-5500
Phone: (304) 918-6056
Fax:
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 MP0552415 West Virginia

Profile Details

NPI number 1316330624
LBN Legal business name Sams East Inc
DBA Doing business as Sam'S Pharmacy 10-8189
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2015
Last updated Sep 9th, 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 1316330624 NPPES
Other 2150860 PK
MEDICAID 3910006996 PK

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