Sam's East INC

NPI #1780824425 in Colonial Heights, Virginia

Provider Information

NPI Number
1780824425
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
Feb 20, 2009
Last Updated
Jun 16, 2025

Practice Location

Address
735 SOUTHPARK BLVD
ZIP Code
23834-3605
Phone
(804) 520-4182

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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