OrganizationActive
Sams West Inc
NPI 1588006233 · Community/Retail Pharmacy · Cheyenne, WY
Provider details
- NPI number
- 1588006233
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Wal-Mart Stores Inc
- Organization subpart
- Yes
- Authorized official
- Kimberly Canonic, Senior Director, Enrollment(480) 853-0515
Specialties & taxonomies
Suppliers
Suppliers
Practice location
1948 Dell Range Blvd
Cheyenne, WY 82009-4917
Phone: (307) 637-3771
Approximate (ZIP-level) locationGet directions
Mailing address
702 Sw 8th St
Bentonville, AR 72716-0445
Other names (DBA / former)
- Doing business as
- Sam'S Club Pharmacy 10-6430
Registry dates
- Enumerated
- 2013-07-23
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.