Robert Blake Brockwell, in Danville, IL - Pharmacy Technician

Robert Blake Brockwell, is a Pharmacy Technician based in Danville, Illinois. Robert Blake Brockwell is licensed to practice in Illinois (license number 049.160038) and his current practice location is 22218 N 1750 East Rd, Danville, Illinois. He can be reached at his office (for appointments etc.) via phone at (217) 260-0688.

NPI number for Robert Blake Brockwell is 1023303682 and his current mailing address is 22218 N 1750 East Rd, Danville, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023303682.

Contact Information

	Robert Blake Brockwell,
	22218 N 1750 East Rd, Danville, IL 61834-7456
	(217) 260-0688
	Not Available

Healthcare Provider's Profile

Full Name	Robert Blake Brockwell
Gender	Male
Speciality	Pharmacy Technician
Location	22218 N 1750 East Rd, Danville, Illinois
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1023303682
Provider Enumeration Date: 06/12/2011
Last Update Date: 06/12/2011

Medical Identifiers

Medical identifiers for Robert Blake Brockwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023303682	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
183500000X	Pharmacist	087172 (New York)	Secondary
183700000X	Pharmacy Technician	049.160038 (Illinois)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Blake Brockwell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Robert Blake Brockwell, 22218 N 1750 East Rd, Danville, IL 61834-7456 Ph: (217) 260-0688	Robert Blake Brockwell, 22218 N 1750 East Rd, Danville, IL 61834-7456 Ph: (217) 260-0688

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Robert Blake Brockwell, - Pharmacist in Danville, IL