Black Drug INC
NPI #1952452955 in Locust Grove, Oklahoma
Provider Information
- NPI Number
- 1952452955
- Entity Type
- Organization
- Organization Name
- Black Drug INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Sep 27, 2016
Practice Location
- Address
- 412 E MAIN ST
- City
- Locust Grove
- State
- Oklahoma
- ZIP Code
- 74352-5117
- Phone
- (918) 479-5223
Authorized Official
- Name
- KEVIN BLACK
- Title
- PRESIDENT
- Phone
- (918) 479-5223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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