Sams Pharmacy 10-6312

LBN: Sams West Inc
Sams Pharmacy 10-6312 is an health care organization with primary practice located at 9925 Hudson Pl , Woodbury MN 55125-9461. 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 West Inc can be contacted via phone (651) 702-7980, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
9925 Hudson Pl Woodbury MN 55125-9461
Fax:
Website:
Authorized official contact:
Name: Levine, Laura

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 262185 Minnesota

Profile Details

NPI number 1710904115
LBN Legal business name Sams West Inc
DBA Doing business as Sams Pharmacy 10-6312
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Dec 28th, 2015 - about 11 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 1710904115 NPPES
Minnesota MEDICAID 219804500
Minnesota Other 2048315

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