Individual provider · Type 1 NPI
Iminabo Samson Berepele
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Longview, TX
NPI number
1023612744
Active
Practice location
3812 Gilmer Rd
Longview, TX 75604-1173
Fax (903) 475-0478
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary | 1835P0018X | 54617 (TX) |
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
4 other providers at this address
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About NPI 1023612744
Iminabo Samson Berepele's National Provider Identifier is 1023612744, issued on Nov 23, 2020. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Longview, TX. The record was last updated on Nov 23, 2020.