# SAM'S EAST INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAL-MART STORES INC
- **Other names:** Sam's Pharmacy 10-8181
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316180219
- **Legal business name:** WAL-MART STORES INC
- **Authorized official:** KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
- **Authorized official phone:** (480) 853-0515

## Contact information

- **Practice address:** 3805 NORTH BLVD, ALEXANDRIA, LA 71301-3563
- **Practice address phone:** (318) 442-9505
- **Mailing address:** 702 SW 8TH ST, BENTONVILLE, AR 72716-0445
- **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 | 6142-RC | LA | Yes |

## Other

- **Enumeration date:** 04/08/2009
- **Last updated:** 06/18/2025