DR. Scotty Ray Black, PHARMD

NPI #1750630513 in Tishomingo, Oklahoma

Provider Information

NPI Number: 1750630513
Entity Type: Individual
Name: DR. Scotty Ray Black, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Sep 6, 2012
Last Updated: Sep 6, 2012

Practice Location

Address: 7670 US HIGHWAY 377 S
City: Tishomingo
State: Oklahoma
ZIP Code: 73460-4460
Phone: (580) 371-5318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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Organizations

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