Organization
SAMS WEST INC
Active
Parent organization
WAL-MART STORES INC
Other names
Sams Pharmacy 10-4770
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
3247 23RD AVE, EVANS, CO 80620-1733
(970) 330-1011
Mailing address
702 SW 8TH ST, MAIL STOP 0445, BENTONVILLE, AR 72716
(479) 277-1242
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PDO750
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117041
PK
—
Enumeration date
08/22/2008
Last updated
08/29/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us