Sam'S Pharmacy 10-4992

LBN: Sam'S East Inc
Sam'S Pharmacy 10-4992 is an health care organization with primary practice located at 1500 Ring Rd , Elizabethtown KY 42701-7984. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Sam'S East Inc can be contacted via phone (270) 763-0755, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
1500 Ring Rd Elizabethtown KY 42701-7984
Phone: (270) 763-0755
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Levine, Laura
Phone: (479) 204-8550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X P07309 Kentucky

Profile Details

NPI number 1043455264
LBN Legal business name Sam'S East Inc
DBA Doing business as Sam'S Pharmacy 10-4992
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 3rd, 2008
Last updated Aug 30th, 2023 - 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 1043455264 NPPES
Other 2118204 PK
MEDICAID 7100089090 PK

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