Sams East INC
Pharmacy, Community/Retail Pharmacy in Green Bay, WI. Organization (NPI-2).
NPI number1528085693
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1528085693
- Entity type
- Organization (NPI-2)
- Legal business name
- Sams East INC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2006
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 8067-42 | WI | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Sams Pharmacy 10-8149 (Doing Business As)
Practice location
2470 W Mason StGreen Bay, WI 54303-4711
Phone 920-494-0536 · Fax 920-494-1094
Mailing address
702 Sw 8th StBentonville, AR 72716-0445
Phone 479-204-8550 · Fax 479-277-4331
Authorized official
Kimberly Canonic
Senior Director, Enrollment
4808530515
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All 21 Community/Retail Pharmacy providers in Green Bay · All 5,539 providers in Green Bay
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