SearchOklahoma183500000X

Lea Black, PHARMACIST

NPI 1669072047 · on the registry since 2020 · sole proprietor

Practice

Address
1907 Se Washington St
Idabel, OK 74745
Phone
(580) 286-3323
Fax
(580) 286-2396
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma