Sam'S Pharmacy

LBN: Evason Pharmacies Inc
Sam'S Pharmacy is an health care organization with primary practice located at 110 S Sycamore St , Rose Hill NC 28458. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Evason Pharmacies Inc can be contacted via phone (910) 289-4271, or through Wilson, Kevin via phone (910) 285-2937.

Contact Information

Primary practice address
110 S Sycamore St Rose Hill NC 28458
Phone: (910) 289-4271
Fax: (910) 289-3880
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Kevin RPH
Phone: (910) 285-2937

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 07544 North Carolina

Profile Details

NPI number 1457459331
LBN Legal business name Evason Pharmacies Inc
DBA Doing business as Sam'S Pharmacy
Authorized official Wilson, Kevin RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Jan 31st, 2013 - 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 1457459331 NPPES
North Carolina MEDICAID 0315432
North Carolina Other 3431690

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