Organization
SAM'S WEST, INC.
Active
Organization
SAM'S WEST, INC.
Active
Other names
Sam's Pharmacy 10-4956
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR)
(480) 277-6348
Entity
Organization
Contact information
Practice address
2080 E RIO SALADO PKWY, TEMPE, AZ 85288-4840
(479) 371-2827
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 371-2827
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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