Brockwell, Robert Blake

Brockwell, Robert Blake is an sole proprietor health care provider with primary practice located at 22218 N 1750 East Rd , Danville IL 61834-7456. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacy Technician. Pharmacy Service Providers / Pharmacy Technician is his primary health care specialty. Brockwell, Robert Blake can be contacted via phone (217) 260-0688.

Contact Information

Primary practice address
22218 N 1750 East Rd Danville IL 61834-7456
Phone: (217) 260-0688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 087172 New York
Pharmacy Service Providers / Pharmacy Technician 183700000X 049.160038 Illinois

Profile Details

NPI number 1023303682
LBN Legal business name Brockwell, Robert Blake
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2011
Last updated Jun 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers