Sams West INC
NPI #1003158676 in Glen Carbon, Illinois
Provider Information
- NPI Number
- 1003158676
- Entity Type
- Organization
- Organization Name
- Sams West INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WAL-MART STORES INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 21, 2013
- Last Updated
- Jun 6, 2025
Practice Location
- Address
- 5 ILLINI DR
- City
- Glen Carbon
- State
- Illinois
- ZIP Code
- 62034-3929
- Phone
- (618) 692-7568
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 277-6348
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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