Individual provider · Type 1 NPI
Blake Loran Cornwell, PharmD
Pharmacist · Peoria, IL
Practice location
6820 N Peartree Ln
Peoria, IL 61615-2471
Mailing address
1800 W Marigold Dr Apt 7310
Peoria, IL 61615-7260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 051.302233 (IL) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
4 other providers at this address
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About NPI 1912501958
Blake Loran Cornwell, PharmD's National Provider Identifier is 1912501958, issued on Nov 30, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Peoria, IL. The record was last updated on Nov 30, 2020.