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Sam's West Inc
Community/Retail Pharmacy in Marion, Illinois
NPI 1306087820

Sam's West Inc is a Community/Retail Pharmacy based in Bentonville, IL and is specialized in Community/Retail Pharmacy. Sam's West Inc practices in Marion, IL. The NPI Number for Sam's West Inc is 1306087820 and holds a License No. (Illinois).

The current practice location address for Sam's West Inc is 2709 Walton Way, Marion, IL and can be reached out via phone at 618-997-8945.

Location: 2709 Walton Way, Marion, IL, 72716-6209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306087820
Provider Name
Sam's West Inc
Credential
Provider Entity Type
Organization
Address
2709 Walton Way, Marion, IL, 72716-6209
Phone Number
618-997-8945
Fax Number
Provider Enumeration Date
03/12/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1483041 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
2709 Walton Way
City
Marion
State
Illinois
Zip
62959-4901
Phone Number
618-997-8945
Fax Number
person
Provider Business Mailing Address Details
Address
2709 Walton Way
City
Marion
State
Illinois
Zip
62959-4901
Phone Number
618-997-8945
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
54016630 (Illinois)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
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 health care providers, collaborative practice, disease state management, and education classes.
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