Whalio Doctors

NPI 1003794116

Sam's East, INC.

Organisation Pharmacy Lebanon, TN

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
Suppliers Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

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.