OrganizationActive
Sams West Inc
NPI 1891133286 · Community/Retail Pharmacy · Casper, WY
Provider details
- NPI number
- 1891133286
- 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
4600 E 2nd St
Casper, WY 82609-4224
Phone: (307) 472-0124
Fax: (307) 472-0316
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 10-6425
Registry dates
- Enumerated
- 2013-06-07
- 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.