Individual
DR. OMRIE OMAINE SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
Mailing address
147 HANOVER ST APT 6, LEBANON, NH 03766-1058
(603) 558-2236
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PHCY-01042
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHCY-01042
PHARMACY LICENSE NUMBER
NH
Enumeration date
12/19/2021
Last updated
12/19/2021
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