Mr Samuel Lee Brock, PHARMACIST | |
2100 N Main Ave, Mountain Grove, MO 65711-2438 | |
(417) 926-4129 | |
(417) 926-7578 |
Full Name | Mr Samuel Lee Brock |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 2100 N Main Ave, Mountain Grove, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255932315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 2003029964 (Missouri) | Primary |
Mailing Address | Practice Location Address |
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Mr Samuel Lee Brock, PHARMACIST Rr 1 Box 425, Vanzant, MO 65768-9704 Ph: (417) 948-2383 | Mr Samuel Lee Brock, PHARMACIST 2100 N Main Ave, Mountain Grove, MO 65711-2438 Ph: (417) 926-4129 |
Christine Michelle Coffman, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1600 N Main St, Mountain Grove, MO 65711 Phone: 417-926-9655 Fax: 417-926-0045 | |
Bailey Adler, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 106 N Union St, Mountain Grove, MO 65711 Phone: 417-926-4156 Fax: 417-926-4125 | |
Shaun Anderson, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 500 E 19th St Ste D, Mountain Grove, MO 65711 Phone: 417-349-2668 Fax: 866-291-1699 | |
Lora Mcqueen, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2100 N Main Ave, Mountain Grove, MO 65711 Phone: 417-926-4129 |