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Organization

SAMS EAST INC

Active
Parent organization
WAL-MART STORES INC
Other names
Sams Pharmacy 10-4839
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAL-MART STORES INC
Authorized official
SARAH LITTLE (MGR OF GOVERNMENT CONTRACTING)
(479) 277-2500
Entity
Organization

Contact information

Practice address
7757 S OLYMPIA AVE, TULSA, OK 74132-1862
(918) 877-4592
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 277-2500
(479) 277-4331

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
2-5746
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100246790 H
OK
01
2131170
PK
Enumeration date
07/20/2011
Last updated
08/29/2023
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