NPI 1003794116
Sam's East, INC.
Practice location
- Address
- 600 Willard Hagan Dr, Lebanon, TN 37090
- Phone
- (615) 994-4122
- Mailing address
- 1 Customer Drive, Ms 0445, Bentonville, AR 72716-0445
Authorised official
- Name
- Kimberly Canonic
- Title
- Director of Health Care Contracting
- Phone
- (480) 277-6348
Registered specialties (3)
Pharmacy
Primary
Durable Medical Equipment & Medical Supplies
Community/Retail Pharmacy
Registry record
- NPI
- 1003794116
- Entity type
- Organization
- NPI issued
- 26 Aug 2025
- Record last updated
- 30 Jul 2026
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.