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Dr. Iminabo Samson Berepele
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Longview, Texas
NPI 1023612744

Iminabo Samson Berepele is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist based in Longview, TX and is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Iminabo Samson Berepele practices in Longview, TX. The NPI Number for Iminabo Samson Berepele is 1023612744 and holds a License No. 54617 (Texas).

The current practice location address for Iminabo Samson Berepele is 3812 Gilmer Rd, Longview, TX and can be reached out via phone at 903-475-0477 and via fax at 903-475-0478.

Location: 3812 Gilmer Rd, Longview, TX, 75604-1173
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023612744
Provider Name
Iminabo Samson Berepele
Credential
Provider Entity Type
Individual
Gender
Male
Address
3812 Gilmer Rd, Longview, TX, 75604-1173
Phone Number
903-475-0477
Fax Number
903-475-0478
Provider Enumeration Date
11/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3812 Gilmer Rd
City
Longview
State
Texas
Zip
75604-1173
Phone Number
903-475-0477
Fax Number
903-475-0478
person
Provider Business Mailing Address Details
Address
3812 Gilmer Rd
City
Longview
State
Texas
Zip
75604-1173
Phone Number
903-475-0477
Fax Number
903-475-0478
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Taxonomy
1835P0018X
License No.
54617 (Texas)
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
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