Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SAMUEL LEE BROCK, PHARMACIST
Active Sole ProprietorMR. SAMUEL LEE BROCK, PHARMACIST is a Pharmacist healthcare provider located in MOUNTAIN GROVE, Missouri. NPI 1255932315 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · MOUNTAIN GROVE, MO
Registration Details
- NPI Number
- 1255932315
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 5, 2020 (5.7374178165823 yrs)
- Last Updated
- Nov 5, 2020
- License
-
2003029964 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2100 N MAIN AVEMOUNTAIN GROVE, MO, 657112438Browse MO providers · Browse ZIP 65711
- Phone
- 4179264129
- Fax
- 4179267578
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in MOUNTAIN GROVE, MO
| Name | Credential | NPI |
|---|---|---|
| LORA MCQUEEN | RPH | 1538792296 |
| CHRISTINE MICHELLE COFFMAN | RPH | 1124777362 |
| BAILEY ADLER | PHARMD | 1316722051 |
| SHAUN ANDERSON | PHARMD | 1427825199 |
| TODD ROBERT CAMPBELL | PHARMACIST | 1497569057 |
| BROCK COFFMAN | — | 1215812664 |
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.