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1386297570
CARLOS BLACK
RIDGELAND, MS
NPI
1386297570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MS e-13962)
Enumeration Date
2019-07-17
Last Update Date
2019-07-17
Business Address
CARLOS BLACK PharmD.
864 WILSON DR STE B
RIDGELAND, MS 39157-4512
Phone number: 601-957-9174
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Mailing Address
CARLOS BLACK PharmD.
204 WINDROSE DR
MADISON, MS 39110-8005
Phone number:
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