DALE SUHRENBROCK RPH
NPI 1104109800
Pharmacist in Wood River, IL

Active since September 20, 2011
1122 VAUGHN RD, WOOD RIVER, IL 62095(618) 259-2013(618) 259-2098 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dale Suhrenbrock Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALE SUHRENBROCK RPH (NPI 1104109800) is an individual pharmacist in Wood River, Illinois, licensed in Illinois (051.031813) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1104109800
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDALE SUHRENBROCKCredential: RPH
Location Address1122 VAUGHN RDWood River, IL 62095-1848
Mailing Address805 Chancellor DrEdwardsville, IL 62025-3936 · (618) 830-0668
Fax(618) 259-2098
Sole ProprietorYes
Enumeration DateSeptember 20, 2011
NPI 1104109800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in IL · 051.031813 Licensed in MO · 029774
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1122 VAUGHN RD, Wood River, IL 62095

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
1122 VAUGHN RD
WOOD RIVER, IL 62095
Clinical Medical Laboratory
1122 VAUGHN RD
WOOD RIVER, IL 62095
Pharmacist
1122 VAUGHN RD
WOOD RIVER, IL 62095
Pharmacist
1122 VAUGHN RD
WOOD RIVER, IL 62095
Pharmacist
1122 VAUGHN RD
WOOD RIVER, IL 62095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Suhrenbrock's NPI number?

The NPI number for Dale Suhrenbrock is 1104109800. It was assigned to this individual provider in the NPPES registry on September 20, 2011.

Where is Dale Suhrenbrock located?

Dale Suhrenbrock practices at 1122 Vaughn Rd, Wood River, IL 62095. The listed phone number is (618) 259-2013.

What is Dale Suhrenbrock's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Dale Suhrenbrock was last updated on September 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.