Sam'S Pharmacy 10-6510

LBN: Sams West Inc
Sam'S Pharmacy 10-6510 is an health care organization with primary practice located at 1831 Madison Ave , Mankato MN 56001-5449. 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 West Inc can be contacted via phone (507) 387-4205, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
1831 Madison Ave Mankato MN 56001-5449
Phone: (507) 387-4205
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 / Community/Retail Pharmacy 3336C0003X 264106 Minnesota

Profile Details

NPI number 1417299793
LBN Legal business name Sams West Inc
DBA Doing business as Sam'S Pharmacy 10-6510
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2013
Last updated Dec 23rd, 2015 - about 9 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 1417299793 NPPES
Other 2139769 PK
MEDICAID 1417299793 PK

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