Organization
SAM'S EAST, INC.
Active
Organization
SAM'S EAST, INC.
Active
Parent organization
WAL-MART STORES, INC.
Other names
Sam's Club Pharmacy 10-6376
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAL-MART STORES, INC.
Authorized official
LAURA LEVINE (DIRECTOR, HEALTHCARE CONTRACTING AN)
(479) 204-8550
Entity
Organization
Contact information
Practice address
4062 LBJ FREEWAY, DALLAS, TX 75244
(972) 759-6492
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
—
—
Other
Enumeration date
03/25/2015
Last updated
08/07/2015
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