MR. Ian Leonard Black, RPH

NPI #1508205816 in Sutherlin, Oregon

Provider Information

NPI Number: 1508205816
Entity Type: Individual
Name: MR. Ian Leonard Black, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 19, 2013
Last Updated: Jun 19, 2013

Practice Location

Address: 113 E CENTRAL AVE
City: Sutherlin
State: Oregon
ZIP Code: 97479-9556
Phone: (541) 459-2712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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