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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. IMINABO SAMSON BEREPELE

Active

Pharmacist Clinician (PhC) · LONGVIEW, TX

Registration Details

NPI Number
1023612744
Provider Type
Individual
Gender
Male
NPI Issued
Nov 23, 2020 (5.4098204040009 yrs)
Last Updated
Nov 23, 2020
License
54617 (TX)

Practice Information

Address
3812 GILMER RD
LONGVIEW, TX, 756041173
Browse TX providers · Browse ZIP 75604
Phone
9034750477
Fax
9034750478
Primary Specialty
Pharmacist Clinician (PhC)
1835P0018X

Other Pharmacist Clinician (PhC) Providers in LONGVIEW, TX

Name Credential NPI
JAMES DAVID BURGAN 1952947327
GRISHMA PATEL PHARMACIST 1750912796
MIKE DOAN NGUYEN 1518557792
JARRETT KOCH PHARMD 1679236681
CARRIE PEVEY PHARMD 1013675586
DR. DANIEL DAVID DAN PHARM.D. 1356085062
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.