Organization · Type 2 NPI

Sam's East Inc

Community/Retail Pharmacy · Colonial Heights, VA

NPI number 1780824425 Active

Practice location

735 Southpark Blvd
Colonial Heights, VA 23834-3605

Call (804) 520-4182 Map

Mailing address

702 SW 8th St
Bentonville, AR 72716-6209

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	0201004280 (VA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

6 other providers at this address

Other community/retail pharmacy providers in Colonial Heights

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NPI record

NPI: 1780824425
Entity type: Organization (Type 2)
Issued: Feb 20, 2009
Last updated: Jun 16, 2025
Status: Active
Subpart: Yes of Wal-Mart Stores Inc

Other names

<unavail>
Sams Pharmacy 10-6524 · doing business as

Authorized official

Kimberly Canonic
Senior Director, Enrollment
(480) 853-0515

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780824425

Sam's East Inc's National Provider Identifier is 1780824425, issued on Feb 20, 2009. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Colonial Heights, VA. The record was last updated on Jun 16, 2025.