Individual provider · Type 1 NPI

Caleb Bryant Sample

Pharmacist · Lebanon, VA

NPI number 1770173445 Active

Practice location

159 Pittston Rd
Lebanon, VA 24266-4630

Mailing address

403 Grand View Ct
Rosedale, VA 24280-3597

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X0202219104 (VA)

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 1770173445

Caleb Bryant Sample's National Provider Identifier is 1770173445, issued on Jan 26, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lebanon, VA. The record was last updated on Jan 26, 2021.