SearchIllinois183500000X

Brockton Stotlar, PHARMD

NPI 1073381281 · on the registry since 2023 · sole proprietor

Practice

Address
2401 W Main St
Marion, IL 62959
Phone
(618) 889-6956
Organisation at this address
Vamc
Marion Vamc
Veterans Affairs
Va Medical Center
Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
417

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois