Individual provider · Type 1 NPI

Elvin Jacob Sam

Pharmacist · Racine, WI

NPI number 1184533069 Active

Practice location

3825 Durand Ave
Racine, WI 53405-4424

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X23656-40 (WI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

4 other providers at this address

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About NPI 1184533069

Elvin Jacob Sam's National Provider Identifier is 1184533069, issued on Sep 4, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Racine, WI. The record was last updated on Sep 4, 2026.