IndividualActive
Samantha Divan, PHARMD
NPI 1033050711 · Pharmacist · Stayton, OR
Samantha Divan, PHARMD is a Pharmacist provider in Stayton, OR (NPI 1033050711).
Provider details
- NPI number
- 1033050711
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- RPH-0020667 (OR)
Practice location
1401 N 10th Ave
Stayton, OR 97383-1311
Phone: (503) 769-9223
Street-level locationGet directions
Mailing address
1401 N 10th Ave
Stayton, OR 97383-1311
Registry dates
- Enumerated
- 2026-04-04
- Last updated
- 2026-04-04
- Certified
- 2026-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.