Blake Loran Cornwell, PHARMD

Pharmacist · Peoria, IL

Individual Active NPI

NPI number 1912501958

Practice location

6820 N Peartree Ln
Peoria, IL 61615-2471
Phone
(309) 241-8644

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NPI record

NPI
1912501958
Entity type
Individual (Type 1)
Enumeration date
November 30, 2020
Last updated
November 30, 2020
Certified
November 30, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051.302233 IL

Mailing address

1800 W Marigold Dr Apt 7310
Peoria, IL 61615-7260
Phone
(309) 241-8644

About Dr. Cornwell

Blake Loran Cornwell, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 6820 N Peartree Ln, Peoria, IL 61615-2471. The NPI number 1912501958 was assigned on November 30, 2020 and the record was last updated on November 30, 2020.

Dr. Cornwell lists a license in the registry: #051.302233 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blake Loran Cornwell, PHARMD?

The NPI number is 1912501958.

What is the phone number of Dr. Cornwell?

The phone number listed for the practice location is (309) 241-8644.

Where is Dr. Cornwell located?

6820 N Peartree Ln, Peoria, IL 61615-2471.

What is the taxonomy code for Dr. Cornwell?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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