Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sam's West Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1306087820

Sam's West Inc is a Durable Medical Equipment & Medical Supplies in Marion, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2709 Walton Way
Marion, IL 62959-4901
Phone: (618) 997-8945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 54016630 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1306087820
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWal-Mart Stores Inc
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 853-0515
Other names Sam'S Pharmacy; Sam'S Pharmacy
NPI enumeratedMarch 12, 2009
Last updated in NPPESJune 18, 2025
Certification dateJune 18, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-6209

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