Sams West INC

NPI #1114944402 in Peoria, Illinois

Provider Information

NPI Number
1114944402
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
Jul 16, 2006
Last Updated
Jun 18, 2025

Practice Location

Address
4100 W WILLOW KNOLLS DR
City
Peoria
ZIP Code
61615-4405
Phone
(309) 692-1508

Authorized Official

Name
KIMBERLY CANONIC
Title
SENIOR DIRECTOR, ENROLLMENT
Phone
(480) 853-0515

Specialties & Taxonomy Codes

Specialty
Pharmacy
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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