Healthcare Provider Details

I. General information

NPI: 1114184553
Provider Name (Legal Business Name): SABRINA JOY BROCK PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SABRINA JOY HALL PHARM.D.

II. Dates (important events)

Enumeration Date: 05/22/2008
Last Update Date: 10/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 W 7TH ST
LITTLE ROCK AR
72205-5446
US

IV. Provider business mailing address

10802 EXECUTIVE CENTER DR STE 100
LITTLE ROCK AR
72211-4377
US

V. Phone/Fax

Practice location:
  • Phone: 501-257-1000
  • Fax:
Mailing address:
  • Phone: 501-257-5188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPD-09904
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: