# SAMS EAST INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAL-MART STORES INC
- **Other names:** SAMS PHARMACY 10-4804
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811914153
- **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:** 1765 JONESBORO RD, MCDONOUGH, GA 30253-5969
- **Practice address phone:** (770) 914-5677
- **Mailing address:** 702 SW 8TH ST, BENTONVILLE, AR 72716-0445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE008617 | GA | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 08/29/2023