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Contact Information

LEA W BLACK, PHARMACIST
1907 SE WASHINGTON ST
IDABEL, OK74745-5253
 Phone: 580-286-3323
 Fax: 580-286-2396
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for LEA W BLACK · (Female)

NPI Number 1669072047
Status Active
Credentials PHARMACIST
Entity Individual
Enumeration date 10/27/2020
Last updated 10/27/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 11827
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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