Individual provider · Type 1 NPI

Samantha Diane Kibodeaux, RPH

Pharmacist · Lake Jackson, TX

NPI number 1356627210 Active

Practice location

202 Highway 332 W
Lake Jackson, TX 77566-4013

Call (979) 299-2330 Map

Fax (979) 299-1159

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X29389 (TX)

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…

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About NPI 1356627210

Samantha Diane Kibodeaux, RPH's National Provider Identifier is 1356627210, issued on Oct 24, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lake Jackson, TX. The record was last updated on Oct 24, 2011.