Organization
SAMS EAST INC
Active
Parent organization
WAL-MART STORES INC
Other names
SAMS PHARMACY 10-4996
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
215 PIEDMONT PL, DANVILLE, VA 24541-4176
(434) 797-3029
Mailing address
215 PIEDMONT PL, DANVILLE, VA 24541-4176
(434) 797-3029
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0201004213
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457537805
—
VA
01
—
2106338
PK
—
Enumeration date
01/16/2008
Last updated
08/24/2023
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