Bock, Brian

Bock, Brian is an individual health care provider with primary practice located at 807 W Layton Ave , Milwaukee WI 53221-2426. He recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Bock, Brian can be contacted via phone (414) 533-2222.

Contact Information

Primary practice address
807 W Layton Ave Milwaukee WI 53221-2426
Phone: (414) 533-2222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 16762-40 Wisconsin
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 16762-40 Wisconsin
Pharmacy Service Providers / Ambulatory Care 1835P2201X 16762-40 Wisconsin
Pharmacy Service Providers / Pharmacist 183500000X 16762-40 Wisconsin

Profile Details

NPI number 1619358546
LBN Legal business name Bock, Brian
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2015
Last updated May 1st, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619358546 NPPES
Wisconsin Other 16762-40 STATE LICENSE
Wisconsin Other 051.296057 STATE LICENSE
Wisconsin MEDICAID 100271681 STATE LICENSE

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