Organization
SAMS EAST INC
Active
Parent organization
WAL-MART STORES INC
Other names
Sams Pharmacy 10-6569
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES INC
Authorized official
LAURA LEVINE (MGR OF GOVERNMENT CONTRACTING)
(479) 204-8550
Entity
Organization
Contact information
Practice address
601 COMMERCE DR, BLUEFIELD, VA 24605-9221
(276) 322-3834
(276) 322-3814
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(479) 277-1238
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004358
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003122870
—
VA
05
—
1871804286
—
VA
01
—
2126472
PK
—
05
—
3810021292
—
WV
Enumeration date
08/31/2010
Last updated
08/23/2023
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