Sam'S Pharmacy

LBN: Sam'S West Inc
Sam'S Pharmacy is an health care organization with primary practice located at 2709 Walton Way , Marion IL 62959-4901. 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. Sam'S West Inc can be contacted via phone (618) 997-8945, or through Little, Sarah via phone (479) 277-2500.

Contact Information

Primary practice address
2709 Walton Way Marion IL 62959-4901
Phone: (618) 997-8945
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Little, Sarah
Phone: (479) 277-2500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 54016630 Illinois

Profile Details

NPI number 1306087820
LBN Legal business name Sam'S West Inc
DBA Doing business as Sam'S Pharmacy
Authorized official Little, Sarah
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 12th, 2009
Last updated Sep 13th, 2019 - about 5 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 1306087820 NPPES
Other 1483041 NCPDP PROVIDER IDENTIFICATION NUMBER

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