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Organization
SAMS EAST INC
Active
Organization
SAMS EAST INC
Active
Other names
Sam's Pharmacy 10-4868
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, BILLING)
(480) 853-0515
Entity
Organization
Contact information
Practice address
13255 N. GRAND PKWY, TOMBALL, TX 77375
(346) 246-7235
(346) 246-7220
Mailing address
1 CUSTOMER DR, MS 0445, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
08/26/2026
Last updated
08/26/2026
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