Sam'S Club Pharmacy 10-7189

LBN: Sams East Inc
Sam'S Club Pharmacy 10-7189 is an health care organization with primary practice located at 4101 N May Ave , Oklahoma City OK 73112. 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 / Pharmacy is the primary health care specialty. Sams East Inc can be contacted via phone (405) 200-0363, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
4101 N May Ave Oklahoma City OK 73112
Fax:
Website:
Authorized official contact:
Name: Levine, Laura

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 17521 Oklahoma
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1912364365
LBN Legal business name Sams East Inc
DBA Doing business as Sam'S Club Pharmacy 10-7189
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2016
Last updated Jul 21st, 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 1912364365 NPPES
Oklahoma MEDICAID 100246790M
Oklahoma Other 2157809

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