| NPI | 1871262741 |
|---|---|
| Doing Business As | BLACK BEAR PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NATHAN H PAYNE Owner 434-489-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-09-13 |