Sams Pharmacy 10-4840

LBN: Sams East Inc
Sams Pharmacy 10-4840 is an health care organization with primary practice located at 3900 Deerfield Dr , Janesville WI 53546-4431. 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 (608) 741-2391, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
3900 Deerfield Dr Janesville WI 53546-4431
Phone: (608) 741-2391
Fax: (608) 741-2394
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 8692-42 Wisconsin

Profile Details

NPI number 1528158508
LBN Legal business name Sams East Inc
DBA Doing business as Sams Pharmacy 10-4840
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Aug 29th, 2023 - about 3 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 1528158508 NPPES
Other 2110952 PK
MEDICAID 33293800 PK

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