Sams West INC
Pharmacy, Community/Retail Pharmacy in Avondale, AZ. Organization (NPI-2).
NPI number1417974635
StatusActive
Last updated in NPPESAug 29, 2023
Details
- NPI
- 1417974635
- Entity type
- Organization (NPI-2)
- Legal business name
- Sams West INC
- Organization subpart
- Yes
- Enumeration date
- Jul 16, 2006
- Certification date
- Aug 29, 2023
- Last updated
- Aug 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | Y003918 | AZ | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Sams Pharmacy 10-4830 (Doing Business As)
Practice location
1459 N Dysart RdAvondale, AZ 85323-1515
Phone 623-882-3871
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Authorized official
Laura Levine
Mgr Of Government Contracting
4792048550
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