Sam's East INC
NPI #1659512861 in Muncy, Pennsylvania
Provider Information
- NPI Number
- 1659512861
- Entity Type
- Organization
- Organization Name
- Sam's East INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WAL-MART STORES INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 18, 2009
- Last Updated
- Jun 16, 2025
Practice Location
- Address
- 611 LYCOMING MALL CIR
- City
- Muncy
- State
- Pennsylvania
- ZIP Code
- 17756-1826
- Phone
- (570) 546-3513
Authorized Official
- Name
- KIMBERLY CANONIC
- Title
- SENIOR DIRECTOR, ENROLLMENT
- Phone
- (480) 853-0515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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