SAMUEL LEE BROCK

MOUNTAIN GROVE, MO
NPI1255932315
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MO  2003029964)
Enumeration Date2020-11-05
Last Update Date2020-11-05
Business Address
Mr. SAMUEL LEE BROCK Pharmacist
2100 N MAIN AVE
MOUNTAIN GROVE, MO 65711-2438
Phone number: 417-926-4129
Mailing Address
Mr. SAMUEL LEE BROCK Pharmacist
RR 1 BOX 425
VANZANT, MO 65768-9704
Phone number: 417-948-2383
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