Sams Pharmacy

LBN: Sams West Inc
Sams Pharmacy is an health care organization with primary practice located at 4100 W Willow Knolls Dr , Peoria IL 61615-4405. 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 West Inc can be contacted via phone (309) 692-1508, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
4100 W Willow Knolls Dr Peoria IL 61615-4405
Phone: (309) 692-1508
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Levine, Laura
Phone: (479) 204-8550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 054014796 Illinois

Profile Details

NPI number 1114944402
LBN Legal business name Sams West Inc
DBA Doing business as Sams Pharmacy
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 16th, 2006
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 1114944402 NPPES
Other 2021246 PK

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