Sams Pharmacy 10-6535

LBN: Sams East Inc
Sams Pharmacy 10-6535 is an health care organization with primary practice located at 4000 Rib Mountain Dr , Wausau WI 54401-7483. 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 (715) 355-0161, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
4000 Rib Mountain Dr Wausau WI 54401-7483
Phone: (715) 355-0161
Fax: (715) 355-0186
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 8690-42 Wisconsin

Profile Details

NPI number 1518056100
LBN Legal business name Sams East Inc
DBA Doing business as Sams Pharmacy 10-6535
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 5th, 2016 - about 10 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 1518056100 NPPES
Other 2110951 PK
MEDICAID 33293700 PK

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