<Unavail>

LBN: Sams East Inc
<Unavail> is an health care organization with primary practice located at 3300 Brumback Blvd , Kenosha WI 53144-4815. 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 (262) 654-6854, or through Canonic, Kimberly via phone (480) 853-0515.

Contact Information

Primary practice address
3300 Brumback Blvd Kenosha WI 53144-4815
Phone: (262) 654-6854
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Canonic, Kimberly
Phone: (480) 853-0515

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 8932-42 Wisconsin

Profile Details

NPI number 1396970489
LBN Legal business name Sams East Inc
DBA Doing business as <Unavail>
Authorized official Canonic, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2009
Last updated Jun 16th, 2025 - about last year

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 1396970489 NPPES
Other 2120429 PK
MEDICAID 100004560 PK

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