<Unavail>

LBN: Sams East Inc
<Unavail> is an health care organization with primary practice located at 4701 Log Cabin Dr , Macon GA 31204-6318. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sams East Inc can be contacted via phone (478) 788-6774, or through Canonic, Kimberly via phone (480) 853-0515.

Contact Information

Primary practice address
4701 Log Cabin Dr Macon GA 31204-6318
Phone: (478) 788-6774
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 / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE008648 Georgia

Profile Details

NPI number 1548287881
LBN Legal business name Sams East Inc
DBA Doing business as <Unavail>
Authorized official Canonic, Kimberly
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 16th, 2006
Last updated Jun 17th, 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 1548287881 NPPES
Georgia MEDICAID 00885013L
Georgia Other 2014664

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