Sams Pharmacy 10-6409

LBN: Sams East Inc
Sams Pharmacy 10-6409 is an health care organization with primary practice located at 1940 Mountain Industrial Blvd , Tucker GA 30084-6619. 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 East Inc can be contacted via phone (678) 280-0236, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
1940 Mountain Industrial Blvd Tucker GA 30084-6619
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 PHRE008401 Georgia

Profile Details

NPI number 1386661627
LBN Legal business name Sams East Inc
DBA Doing business as Sams Pharmacy 10-6409
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 16th, 2006
Last updated Aug 7th, 2013 - 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 1386661627 NPPES
Georgia MEDICAID 00999027A
Georgia Other 2020402

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