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NPI Code Detail

MEDICARE: DR. LUCRETIA K SAMUELS PHARMD

MEDICARE:  DR. LUCRETIA K SAMUELS  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
1183500000XPharmacist0202206761VA

General Provider Information

NPI Number : 1649873944
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUCRETIA K SAMUELS PHARMD
Provider Business Mailing Address
First Line : 7107 FOREST HILL AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23225-1501
Country : US
Telephone Number : 804-330-3526
Fax Number : 804-482-7779
Provider Business Practice Location Address
First Line : 7107 FOREST HILL AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23225-1501
Country : US
Telephone Number : 804-330-3626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2020
Last Update Date : 11/18/2020

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Directions to “ DR. LUCRETIA K SAMUELS PHARMD” Practice Location

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