NPI 1003158676
Sams West INC
Practice location
- Address
- 5 Illini Dr, Glen Carbon, IL 62034-3929
- Phone
- (618) 692-7568
- Fax
- (618) 692-7633
- Mailing address
- 702 SW 8th St, Bentonville, AR 72716-0445
Authorised official
- Name
- Kimberly Canonic
- Title
- Senior Director, Enrollment
- Phone
- (480) 277-6348
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1003158676
- Entity type
- Organization
- NPI issued
- 21 Mar 2013
- Record last updated
- 6 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.