MRS. Virginia Leo Black, RPH
NPI #1093353047 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1093353047
- Entity Type
- Individual
- Name
- MRS. Virginia Leo Black, RPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- RPH
- Enumeration Date
- Dec 19, 2019
- Last Updated
- Dec 19, 2019
Practice Location
- Address
- 6010 CASTLE RD
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-9310
- Phone
- (601) 636-1718
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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