Susan Black

NPI #1073896783 in Fergus Falls, Minnesota

Provider Information

NPI Number
1073896783
Entity Type
Individual
Name
Susan Black
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Sep 20, 2011
Last Updated
Sep 20, 2011

Practice Location

Address
326 W LINCOLN AVE
ZIP Code
56537-2027
Phone
(218) 736-1028

Specialties & Taxonomy Codes

Specialty
Pharmacist

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