Organization
SAMS EAST INC
Active
Parent organization
WAL-MART STORES INC
Other names
SAMS PHARMACY 10-4990
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
29683 FREDERICK BLVD, DAPHNE, AL 36526-9571
(251) 626-6670
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
112956
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039166
—
AL
01
—
1996017
PK
—
Enumeration date
05/21/2007
Last updated
08/30/2023
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