Provider Information for 1124045463
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SAMS WEST INC
Other Names:Doing Business As:SAMS PHARMACY 10-6379Organization Subpart: YES
NPI: 1124045463
Last Updated: 2013-07-16
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Details
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NPI | 1124045463 | ||||||||||||||||
Enumeration Date | 2006-07-16 | ||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||
Status | Active | ||||||||||||||||
Authorized Official Information | Name: LAURA LEVINE Title: Mgr of Government Contracting Phone: 4792048550 | ||||||||||||||||
Mailing Address | 702 SW 8TH ST BENTONVILLE, AR 72716-0445 United States Phone: | Fax: | ||||||||||||||||
Primary Practice Address | 401 NORTHWEST BYP GREAT FALLS, MT 59404-4124 United States Phone: 406-453-3466 | Fax: | ||||||||||||||||
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