Organization · NPI-2

Sams East INC

Pharmacy, Community/Retail Pharmacy · Monroeville, PA

NPI number1972520120

StatusActive

Last updated in NPPESJun 18, 2025

Details

NPI: 1972520120
Entity type: Organization (NPI-2)
Legal business name: Sams East INC
Organization subpart: Yes
Enumeration date: Jul 16, 2006
Certification date: Jun 18, 2025
Last updated: Jun 18, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3336C0003X	Pharmacy, Community/Retail Pharmacy	PP481483	PA	Yes
332B00000X	Durable Medical Equipment & Medical Supplies	–	–
333600000X	Pharmacy	–	–

Other names

Sams Pharmacy 10-6677 (Doing Business As)

Practice location

3621 William Penn Hwy
Monroeville, PA 15146-2123

Phone 412-372-4097

Mailing address

702 Sw 8th St
Bentonville, AR 72716-0445

Authorized official

Kimberly Canonic
Senior Director, Enrollment
4808530515

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