Organization
SAMS WEST INC
Active
Other names
Sams Pharmacy 10-4870
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CANONIC (SENIOR DIRECTOR, ENROLLMENT)
(480) 277-6348
Entity
Organization
Contact information
Practice address
10510 PARALLEL PKWY, KANSAS CITY, KS 66109-3643
(913) 693-0984
(913) 693-0978
Mailing address
702 SW 8TH ST, BENTONVILLE, AR 72716-6209
(479) 204-8550
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2-10421
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136761
PK
—
Enumeration date
09/04/2012
Last updated
06/05/2025
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