Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT BLAKE BROCKWELL
Active Sole ProprietorROBERT BLAKE BROCKWELL is a Pharmacy Technician healthcare provider located in DANVILLE, Illinois. NPI 1023303682 is currently active in the NPPES registry. Verify at CMS.
Pharmacy Technician · DANVILLE, IL
Registration Details
- NPI Number
- 1023303682
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2011 (15.167577421661 yrs)
- Last Updated
- Jun 12, 2011
- Licenses
-
087172 (NY)049.160038 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22218 N 1750 EAST RDDANVILLE, IL, 618347456Browse IL providers · Browse ZIP 61834
- Phone
- 2172600688
- Primary Specialty
-
Pharmacy Technician
183700000X
- Additional Specialty
- Pharmacy Technician
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.