Organization
SAMS WEST INC
Active
Other names
SAMS PHARMACY 10-6426
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 853-0515
Entity
Organization
Contact information
Practice address
2919 MARKET PL, SALINA, KS 67401-8598
(785) 823-7641
(785) 823-7367
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-0445
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-09833
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100444800A
—
KS
01
—
2027073
PK
—
05
—
6087176405
—
KS
Enumeration date
07/16/2006
Last updated
06/16/2025
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