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Mr. Samuel Lee Brock, PHARMACIST
Pharmacist in Mountain Grove, Missouri
NPI 1255932315

Samuel Lee Brock is a Pharmacist based in Vanzant, MO. Samuel Lee Brock practices in Mountain Grove, MO and has the professional credentials of PHARMACIST. The NPI Number for Samuel Lee Brock is 1255932315 and holds a License No. 2003029964 (Missouri).

The current practice location address for Samuel Lee Brock is 2100 N Main Ave, Mountain Grove, MO and can be reached out via phone at 417-926-4129 and via fax at 417-926-7578.

Location: 2100 N Main Ave, Mountain Grove, MO, 65768-9704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255932315
Provider Name
Samuel Lee Brock
Credential
PHARMACIST
Provider Entity Type
Individual
Gender
Male
Address
2100 N Main Ave, Mountain Grove, MO, 65768-9704
Phone Number
417-926-4129
Fax Number
417-926-7578
Provider Enumeration Date
11/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2100 N Main Ave
City
Mountain Grove
State
Missouri
Zip
65711-2438
Phone Number
417-926-4129
Fax Number
417-926-7578
person
Provider Business Mailing Address Details
Address
2100 N Main Ave
City
Mountain Grove
State
Missouri
Zip
65711-2438
Phone Number
417-926-4129
Fax Number
417-926-7578
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
2003029964 (Missouri)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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