Berepele, Iminabo Samson

Berepele, Iminabo Samson is an individual health care provider with primary practice located at 3812 Gilmer Rd , Longview TX 75604-1173. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Berepele, Iminabo Samson can be contacted via phone (903) 475-0477.

Contact Information

Primary practice address
3812 Gilmer Rd Longview TX 75604-1173
Phone: (903) 475-0477
Fax: (903) 475-0478
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 54617 Texas

Profile Details

NPI number 1023612744
LBN Legal business name Berepele, Iminabo Samson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2020
Last updated Nov 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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