Sam'S Pharmacy 10-6267

LBN: Sams East Inc
Sam'S Pharmacy 10-6267 is an health care organization with primary practice located at 1117 W I-35 Frontage Rd. , Edmond OK 73034. 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 (405) 757-3802, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
1117 W I-35 Frontage Rd. Edmond OK 73034
Phone: (405) 757-3802
Fax: (405) 757-3251
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 1-6347 Oklahoma

Profile Details

NPI number 1770923583
LBN Legal business name Sams East Inc
DBA Doing business as Sam'S Pharmacy 10-6267
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 26th, 2013
Last updated Apr 7th, 2014 - about 12 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 1770923583 NPPES
Oklahoma MEDICAID 100246790J
Oklahoma Other 2141155

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