Sams Pharmacy 10-6315
LBN: Sams East Inc
Sams Pharmacy 10-6315 is an health care organization with primary practice located at 120 Indian Ridge Blvd , Mishawaka IN 46545-9033. 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 (574) 243-8419, or through Levine, Laura via phone (479) 204-8550.
Contact Information
Primary practice address
120 Indian Ridge Blvd
Mishawaka IN 46545-9033
Phone: (574) 243-8419
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 60005421A | Indiana |
Profile Details
NPI number | 1831116052 |
---|---|
LBN Legal business name | Sams East Inc |
DBA Doing business as | Sams Pharmacy 10-6315 |
Authorized official | Levine, Laura |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Jul 16th, 2006 |
Last updated | Sep 23rd, 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 | 1831116052 | NPPES |
Indiana | MEDICAID | 200220480 | |
Indiana | Other | 2024167 | |
Indiana | MEDICAID | 200220480A |
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