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Contact Information

JEFFREY A BLACK, P.D.
1925 ZERO ST
FORT SMITH, AR72901-8415
 Phone: 479-646-5808
 Fax: 479-646-6334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JEFFREY A BLACK · (Male)

NPI Number 1235419896
Status Active
Credentials P.D.
Entity Individual
Enumeration date 08/26/2011
Last updated 08/26/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AR License # PD07026
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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