Organization · Type 2 NPI

Sam's West Inc

Pharmacy · Lathrop, CA

NPI number 1114847563 Active

Practice location

16150 Golden Vly Pkwy
Lathrop, CA 95330-8509

Fax (209) 390-0326

Mailing address

1 Customer Dr
Bentonville, AR 72716-0445

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Primary 333600000XNone listed
Community/Retail Pharmacy 3336C0003XNone listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1114847563

Sam's West Inc's National Provider Identifier is 1114847563, issued on Jul 16, 2026. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Lathrop, CA. The record was last updated on Jul 17, 2026.