| NPI | 1952452955 |
|---|---|
| Doing Business As | BLACK DRUG |
| Entity Type | Organization |
| Authorized Contact | KEVIN BLACK President 918-479-5223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OK 30-4476) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-09-27 |