# SAM'S EAST, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sam's Pharmacy 10-8144
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255465399
- **Authorized official:** KARI BAKER (PHARMACY LICENSING SUPERVISOR)
- **Authorized official phone:** (479) 273-6874

## Contact information

- **Practice address:** 1025 WEST BLACKHORSE PIKE, PLEASANTVILLE, NJ 08232
- **Practice address phone:** (609) 485-2047
- **Mailing address:** 702 SW 8TH STREET, BENTONVILLE, AR 72716-0230
- **Mailing address phone:** (479) 273-6874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 08/22/2020