Organization

Sams East Inc

May also be knows as Sams Pharmacy 10-8150

Community/Retail Pharmacy in Port Saint Lucie, FL(View on Map)

Legal Business Name

Sams East Inc

Also Known As

Sams Pharmacy 10-8150

NPI Number

1790840999

NPI Type

Organization

Enumeration Date

12/27/2006

Specialties

(Taxonomies)

Code

3336C0003X
332B00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

PH22502

Contact
Information

Purpose

Mailing
Location

Address

702 SW 8TH ST
10900 S US HIGHWAY 1

City

Bentonville
Port Saint Lucie

State

AR
FL

Postal Code

72716-0445
34952-6406

Country

US
US

Telephone Number

N/A
(772) 335-3992

Authorized Official

Name

Laura Levine

Title or Position

MGR OF GOVERNMENT CONTRACTING

Telephone Number

(479) 204-8550

Identifiers

Identifier

031899000
31899000
031833001
2008136

Identifier State

FL
FL
FL
Unknown

Identifier Issuer

Unknown
Unknown
Unknown
PK

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2013

Provider Address

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