Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Samuel Lee Brock, PHARMACIST

Individual provider Pharmacist · NPI 1255932315

Mr. Samuel Lee Brock, PHARMACIST is a Pharmacist in Mountain Grove, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2020
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Practice location Address checks out

2100 N Main Ave
Mountain Grove, MO 65711-2438
Phone: (417) 926-4129
Fax: (417) 926-7578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2003029964 (MO)

Record details

NPI number1255932315
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedNovember 5, 2020
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020

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