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SAMS WEST INC NPI 1700803194


NPI Information

NPI: 1700803194
Provider Name: SAMS WEST INC

Doing Business As: SAMS PHARMACY 10-6320

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 24D2100927

Address:
4743 MAPLE GROVE RD
HERMANTOWN, MN
ZIP 55811
Phone: (218) 279-2858
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SAMS WEST INC is a community/retail pharmacy pharmacy in Hermantown, MN. The provider is 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 health care providers, collaborative practice, disease state management, and education classes. SAMS WEST INC NPI is 1700803194. The provider is registered as an organization entity type.
The provider Is Doing Business As Sams Pharmacy 10-6320.

The provider's business location address is:

4743 MAPLE GROVE RD
HERMANTOWN, MN
ZIP 55811-920
Phone: (218) 279-2858

The provider's authorized official is Laura Levine .
The authorized official title is Dir H&w and has the following contact phone number (479) 204-8550.

The CLIA number assigned to this NPI record is 24D2100927 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 8/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy261982MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1220672200MEDICAIDMINNESOTA
22048190OTHERPK
320672200MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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