Sams East INC
Pharmacy, Community/Retail Pharmacy in Bloomington, IN. Organization (NPI-2).
NPI number1104843697
StatusActive
Last updated in NPPESAug 23, 2023
Details
- NPI
- 1104843697
- Entity type
- Organization (NPI-2)
- Legal business name
- Sams East INC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2006
- Certification date
- Aug 23, 2023
- Last updated
- Aug 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 60005630B | IN | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Sams Pharmacy 10-6437 (Doing Business As)
Practice location
3205 W State Road 45Bloomington, IN 47403-5107
Phone 812-333-8903
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Authorized official
Laura Levine
Mgr Of Government Contracting
4792048550
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All 14 Community/Retail Pharmacy providers in Bloomington · All 4,023 providers in Bloomington
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