# SAMS EAST INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAL-MART STORES INC
- **Other names:** Sams Pharmacy 10-4837
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093073215
- **Legal business name:** WAL-MART STORES INC
- **Authorized official:** LAURA LEVINE (MGR OF GOVERNMENT CONTRACTING)
- **Authorized official phone:** (479) 204-8550

## Contact information

- **Practice address:** 201 BASS PRO BLVD, DENHAM SPRINGS, LA 70726-5570
- **Practice address phone:** (225) 665-8153
- **Mailing address:** 702 SW 8TH ST, BENTONVILLE, AR 72716-6209
- **Mailing address phone:** (479) 277-1238
- **Mailing address fax:** (479) 277-4331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.006560-RC | LA | Yes |

## Other

- **Enumeration date:** 04/25/2012
- **Last updated:** 08/29/2023