Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROCK JORDAN PAVLIK, PHARMD
ActivePharmacist · OREGON, WI
Registration Details
- NPI Number
- 1780218420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2020 (6.1789724551889 yrs)
- Last Updated
- Mar 2, 2020
- License
-
20085-40 (WI)
Practice Information
- Address
-
704 N MAIN STOREGON, WI, 535751004Browse WI providers · Browse ZIP 53575
- Phone
- 6088356771
- Fax
- 6088350079
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in OREGON, WI
| Name | Credential | NPI |
|---|---|---|
| KIM M SHUMAKER | PHARM.D. | 1457467433 |
| DR. JASON ALLEN BUENGER | PHARM.D | 1891803474 |
| MR. JOHN W. BERTELSON | RPH | 1427150770 |
| KAREN M BORDEN | — | 1790919660 |
| MR. DENNIS N HUSTAD | — | 1821379835 |
| SCOTT WILLIAM PROCKNOW | RPH | 1710268842 |
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.