Provider Demographics
NPI:1376321877
Name:VORWERK, BLAKE ANDREW (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BLAKE
Middle Name:ANDREW
Last Name:VORWERK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 TRACY AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-3001
Mailing Address - Country:US
Mailing Address - Phone:636-697-2298
Mailing Address - Fax:
Practice Address - Street 1:11010 W 74TH TER
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66203-4422
Practice Address - Country:US
Practice Address - Phone:913-268-4018
Practice Address - Fax:913-268-4792
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-107318183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist