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NPI Code Detail

MEDICARE: SAMANTHA KNOBLOCH PHARMD

MEDICARE: SAMANTHA KNOBLOCH PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy Pharmacist71196TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
171196OTHERTXREGISTERED PHARMACIST LICENSE

General Provider Information

NPI Number : 1598461543
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA KNOBLOCH PHARMD
Provider Business Mailing Address
First Line : 300 E COMMERCE ST
Second Line :
City : BROWNWOOD
State : TX
Zip : 76801-1824
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 E COMMERCE ST
Second Line :
City : BROWNWOOD
State : TX
Zip : 76801-1824
Country : US
Telephone Number : 325-510-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2023
Last Update Date : 02/01/2023

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Directions to “ SAMANTHA KNOBLOCH PHARMD” Practice Location

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