KEN R BLACK

UNION, SC
NPI1174871008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: SC  4711)
Enumeration Date2012-08-27
Last Update Date2012-08-27
Business Address
-- KEN R BLACK RPh
599 RICE AVE UNION
UNION, SC 29379-1840
Phone number: 864-427-7668
Mailing Address
-- KEN R BLACK RPh
599 RICE AVE
UNION, SC 29379-1840
Phone number: 864-427-7668
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