Sams East INC
Pharmacy, Community/Retail Pharmacy in Beavercreek, OH. Organization (NPI-2).
NPI number1235157082
StatusActive
Last updated in NPPESJun 16, 2025
Details
- NPI
- 1235157082
- Entity type
- Organization (NPI-2)
- Legal business name
- Sams East INC
- Organization subpart
- Yes
- Enumeration date
- Jul 18, 2006
- Certification date
- Jun 16, 2025
- Last updated
- Jun 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 21221050 | OH | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Sams Pharmacy 10-6517 (Doing Business As)
Practice location
3446 Pentagon BlvdBeavercreek, OH 45431-1704
Phone 937-427-0879
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4808530515
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