Sams East INC

NPI #1902823040 in South Charleston, West Virginia

Provider Information

NPI Number
1902823040
Entity Type
Organization
Organization Name
Sams East 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 17, 2025

Practice Location

Address
2500 MOUNTAINEER BLVD
ZIP Code
25309-9438
Phone
(304) 744-3649

Authorized Official

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

Specialties & Taxonomy Codes

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

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