Individual
DR. BRIAN BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
807 W LAYTON AVE, MILWAUKEE, WI 53221-2426
(414) 533-2222
Mailing address
807 W LAYTON AVE, MILWAUKEE, WI 53221-2426
(414) 533-2222
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16762-40
WI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
16762-40
WI
1835P1200X
Pharmacotherapy Pharmacist
16762-40
WI
1835P2201X
Ambulatory Care Pharmacist
16762-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051.296057
STATE LICENSE
IL
05
—
100271681
—
WI
01
—
16762-40
STATE LICENSE
WI
Enumeration date
06/16/2015
Last updated
05/01/2024
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