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
Phone: (678) 280-0236
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386661627 | NPPES |
| Georgia | MEDICAID | 00999027A | |
| Georgia | Other | 2020402 |
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