Provider Information for 1558388892
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SAMS EAST INC
Other Names:Doing Business As:SAMS PHARMACY 10-4780Organization Subpart: YES
NPI: 1558388892
Last Updated: 2023-08-29
Certification Date: 2023-08-29
Certification Date: 2023-08-29
Details
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NPI | 1558388892 | ||||||||||||||||
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 | 3383 BUFORD DR BUFORD, GA 30519-4985 United States Phone: 770-831-8182 | Fax: | ||||||||||||||||
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