Sams East INC
Pharmacy, Community/Retail Pharmacy in Mooresville, NC. Organization (NPI-2).
NPI number1376972307
StatusActive
Last updated in NPPESJun 6, 2025
Details
- NPI
- 1376972307
- Entity type
- Organization (NPI-2)
- Legal business name
- Sams East INC
- Organization subpart
- Yes
- Enumeration date
- Nov 12, 2013
- Certification date
- Jun 6, 2025
- Last updated
- Jun 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 11679 | NC | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Sam'S Pharmacy 10-4917 (Doing Business As)
Practice location
646 River HwyMooresville, NC 28117-9055
Phone 704-360-6033
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-277-2500 · Fax 479-277-4331
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4802776348
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