J & I Black, Inc.

NPI #1790729077 in Sutherlin, Oregon

Provider Information

NPI Number: 1790729077
Entity Type: Organization
Organization Name: J & I Black, Inc.
Primary Specialty: Pharmacist
Enumeration Date: Jun 16, 2006
Last Updated: Aug 22, 2020

Practice Location

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

Authorized Official

Name: MR. IAN L BLACK, B.S., R.PH.
Title: PRESIDENT
Phone: (541) 459-2712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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