BENJAMIN ROLAND BLACK

VIDALIA, GA
NPI1275576837
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: GA  RPH022024)
Enumeration Date2006-06-13
Last Update Date2023-03-31
Business Address
Dr. BENJAMIN ROLAND BLACK PharmD
1704 MEADOWS LN
VIDALIA, GA 30474-8913
Phone number: 912-537-4147
Mailing Address
Dr. BENJAMIN ROLAND BLACK PharmD
3526 MOUNT VERNON ALSTON RD
MOUNT VERNON, GA 30445-2301
Phone number: 912-594-6061
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