Samuel Brock, PHARMACIST

NPI 1255932315 · on the registry since 2020 · sole proprietor

Practice

Address: 2100 N Main Ave
Mountain Grove, MO 65711
Phone: (417) 926-4129
Fax: (417) 926-7578
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri