MR. Samuel Lee Brock, PHARMACIST
NPI #1255932315 in Mountain Grove, Missouri
Provider Information
- NPI Number
- 1255932315
- Entity Type
- Individual
- Name
- MR. Samuel Lee Brock, PHARMACIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMACIST
- Enumeration Date
- Nov 5, 2020
- Last Updated
- Nov 5, 2020
Practice Location
- Address
- 2100 N MAIN AVE
- City
- Mountain Grove
- State
- Missouri
- ZIP Code
- 65711-2438
- Phone
- (417) 926-4129
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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