Sam'S Pharmacy 10-4878

LBN: Sams West Inc
Sam'S Pharmacy 10-4878 is an health care organization with primary practice located at 5 Illini Dr , Glen Carbon IL 62034-3929. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Sams West Inc can be contacted via phone (618) 692-7568, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
5 Illini Dr Glen Carbon IL 62034-3929
Phone: (618) 692-7568
Fax: (618) 692-7633
Website:
Map and Directions
Authorized official contact:
Name: Levine, Laura
Phone: (479) 204-8550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054018277 Illinois

Profile Details

NPI number 1003158676
LBN Legal business name Sams West Inc
DBA Doing business as Sam'S Pharmacy 10-4878
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 21st, 2013
Last updated Jul 25th, 2014 - 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 1003158676 NPPES
Other 2140580 PK

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