Sams West Inc, NPI 1366801557
Pharmacy in Longmont, CO, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1366801557
NPI Entity Type Organization
Provider Name Sams West Inc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1200 S Hover St, Longmont, CO, US
Provider Mailing Address 702 Sw 8th St, Bentonville, AR, US, 727160445
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Sarah Little
Official Position DIR. HEALTHCARE CONTRACT & ENROLLME
Phone 479-277-2500

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. PDO.1680000116
License State CO
Description A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Other Organization Name

Sam's Pharmacy 10-4987
Doing Business As

Business Address

Sams West Inc
1200 S Hover St

Longmont, CO, US

Phone: 303-845-4219
Fax: 303-682-6418

Mailing Address

Sams West Inc
702 Sw 8th St
Bentonville, AR, US
ZIP 727160445
Phone: 479-204-8550
Fax: 479-277-4331

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

3336C0003X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2159365 PK 01
1366801557 CO MEDICAID 05

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