Samantha Jo Divine
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
500 S Liberty Dr, Bloomington
Indiana, 47403-1924
812-349-1392 812-349-1393
Samantha Jo Divine is a pharmacist who is specialized in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bloomington, Indiana. Patients can reach her at 500 S Liberty Dr, Bloomington or contact her on 812-349-1392. Active license number of Samantha Jo Divine is 26029142A for Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Indiana.
Samantha Jo Divine is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Complete Profile:
Samantha Jo Divine speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Samantha Jo Divine |
| Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Credentials: | PHARMD |
| Gender: | Female |
| Location: | 500 S Liberty Dr, Bloomington,
Indiana, 47403-1924 |
| Phone: | 812-349-1392 |
| Fax: | 812-349-1393 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Samantha Jo Divine are as mentioned below.
| NPI Number: | 1689269219 |
| NPI Enumeration Date: | 05 Mar, 2021 |
| NPI Last Update On: | 18 Jun, 2026 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samantha Jo Divine are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 26029142A | Indiana | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 500 S Liberty Dr,
Bloomington, Indiana |
| Zip: | 47403-1924 |
| Phone Number: | 812-349-1392 |
| Fax Number: | 812-349-1393 |
Patients can reach Samantha Jo Divine at
500 S Liberty Dr, Bloomington, Indiana or can
call on phone at 812-349-1392.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.