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

Sams West Inc

Organization Community/Retail Pharmacy · NPI 1003158676

Sams West Inc is a Community/Retail Pharmacy in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
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

5 Illini Dr
Glen Carbon, IL 62034-3929
Phone: (618) 692-7568
Fax: (618) 692-7633
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 054018277 (IL)

Record details

NPI number1003158676
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWal-Mart Stores Inc
Authorized official Kimberly Canonic — Senior Director, Enrollment · (480) 277-6348
Other names Sam'S Pharmacy 10-4878
NPI enumeratedMarch 21, 2013
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025
Mailing address702 Sw 8th St, Bentonville, AR 72716-0445

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