Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DALE SUHRENBROCK, RPH
Active Sole ProprietorDALE SUHRENBROCK, RPH is a Pharmacist healthcare provider located in WOOD RIVER, Illinois. NPI 1104109800 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · WOOD RIVER, IL
Registration Details
- NPI Number
- 1104109800
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2011 (14.873481034239 yrs)
- Last Updated
- Sep 20, 2011
- Licenses
-
051.031813 (IL)029774 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1122 VAUGHN RDWOOD RIVER, IL, 620951848Browse IL providers · Browse ZIP 62095
- Phone
- 6182592013
- Fax
- 6182592098
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in WOOD RIVER, IL
| Name | Credential | NPI |
|---|---|---|
| KEVIN L HENDRICK | RPH | 1033217427 |
| MR. DONALD EDWARD MAYDEN | — | 1316047053 |
| PROF. KRISTIN KAYE PIPER | — | 1447532171 |
| DR. KATIE LYNN BARTELS | PHARMD | 1679856389 |
| MICHAEL CLEARY | RPH | 1205104502 |
| DR. JILL WOODWARD | PHARMD | 1255609517 |
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.