Organization · Type 2 NPI

Sams East Inc

Community/Retail Pharmacy · Waterford, MI

NPI number 1912924135 Active

Practice location

495 Summit Dr
Waterford, MI 48328-3368

Call (248) 738-2753 Map

Fax (248) 738-6220

Mailing address

702 SW 8th St
Bentonville, AR 72716-0445

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	5301007260 (MI)

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 …

Another provider at this address

Sam's Club OpticalEyewear Supplier Waterford, MI NPI 1316039845

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NPI record

NPI: 1912924135
Entity type: Organization (Type 2)
Issued: Jul 16, 2006
Last updated: Jul 5, 2013
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Sams Pharmacy 10-6665 · doing business as

Authorized official

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

Verify this record

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 1912924135

Sams East Inc's National Provider Identifier is 1912924135, issued on Jul 16, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Waterford, MI. The record was last updated on Jul 5, 2013.