Search › California › 183500000X
Douglas Brock, RPH
NPI 1437499936 · on the registry since 2013 · sole proprietor
Practice
- Address
- 12110 Industry Blvd
Jackson, CA 95642 - Phone
- (209) 257-0786
- Fax
- (209) 257-0790
- Organisation at this address
- Safeway Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- CA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-02-20
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 California