EDSEL RAY BLACK

CLEVELAND, GA
NPI1881903888
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  RPH009632)
Enumeration Date2010-09-25
Last Update Date2022-04-19
Business Address
Mr. EDSEL RAY BLACK rph
184 W KYTLE ST STE A
CLEVELAND, GA 30528-9607
Phone number: 706-219-2626
Mailing Address
Mr. EDSEL RAY BLACK rph
184 W KYTLE ST
CLEVELAND, GA 30528-1330
Phone number: 706-219-2626
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