Organization · Type 2 NPI

Sam's East Inc

Community/Retail Pharmacy · Elizabethtown, KY

NPI number 1043455264 Active

Practice location

1500 Ring Rd
Elizabethtown, KY 42701-7984

Call (270) 763-0755 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	P07309 (KY)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

5 other providers at this address

Other community/retail pharmacy providers in Elizabethtown

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NPI record

NPI: 1043455264
Entity type: Organization (Type 2)
Issued: Dec 3, 2008
Last updated: Aug 30, 2023
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Sam's Pharmacy 10-4992 · doing business as
Sam's Pharmacy 10-4992 · doing business as

Authorized official

Laura Levine
MGR of Government Contracting
(479) 204-8550

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043455264

Sam's East Inc's National Provider Identifier is 1043455264, issued on Dec 3, 2008. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Elizabethtown, KY. The record was last updated on Aug 30, 2023.