Sam'S Club Pharmacy 10-4901

LBN: Sams East Inc
Sam'S Club Pharmacy 10-4901 is an health care organization with primary practice located at 309 Rolling Hills Cir , Easley SC 29640-7124. 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. Sams East Inc can be contacted via phone (864) 644-9012, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
309 Rolling Hills Cir Easley SC 29640-7124
Fax: (864) 644-9013
Website:
Authorized official contact:
Name: Levine, Laura

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 14647 South Carolina

Profile Details

NPI number 1831533199
LBN Legal business name Sams East Inc
DBA Doing business as Sam'S Club Pharmacy 10-4901
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 17th, 2013
Last updated Oct 29th, 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 1831533199 NPPES
South Carolina MEDICAID 714647
South Carolina Other 2140142

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