OrganizationSams East Inc(<Unavail>)PharmacySuppliersPractice Address6080 U S Highway 98, Hattiesburg, MS 39402-8854(601) 261-2171(479) 277-1238PECOS EnrollmentBased on the most recent information from CMS, provider Sams East Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1568734432Provider TypeOrganizationFull NameSams East IncOther Name<Unavail>SubpartYesEnumeration Date2/7/2012Last Updated6/17/2025Contact InformationPractice LocationPractice Address6080 U S Highway 98, Hattiesburg, MS 39402-8854Phone(601) 261-2171FaxUnlisted FaxMailing LocationMailing Address702 SW 8th St, Bentonville, AR 72716-0445Phone(479) 277-1238Fax(479) 277-4331Authorized OfficialNameCanonic, Kimberly (Senior Director, Enrollment)Phone(480) 853-0515Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicense11306/1.2MississippiCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID2135113DescriptionOtherIssuerPKID04506012DescriptionMedicaidIssuerUnlistedMississippi