Sams Pharmacy 10-6507

LBN: Sams East Inc
Sams Pharmacy 10-6507 is an health care organization with primary practice located at 2120 Emporium Dr , Jackson TN 38305-6004. 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 (731) 664-0113, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
2120 Emporium Dr Jackson TN 38305-6004
Fax: (731) 664-4717
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 4159 Tennessee

Profile Details

NPI number 1659398758
LBN Legal business name Sams East Inc
DBA Doing business as Sams Pharmacy 10-6507
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Mar 16th, 2015 - about 10 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 1659398758 NPPES
Tennessee MEDICAID 1454973
Tennessee Other 2094659

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