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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. IAN LEONARD BLACK, RPH

Active Sole Proprietor

MR. IAN LEONARD BLACK, RPH is a Pharmacist healthcare provider located in SUTHERLIN, Oregon. NPI 1508205816 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · SUTHERLIN, OR

Registration Details

NPI Number
1508205816
Provider Type
Individual
Gender
Male
NPI Issued
Jun 19, 2013 (13.114426133905 yrs)
Last Updated
Jun 19, 2013
License
RPH-0007673-P (OR)
Sole Proprietor
Yes

Practice Information

Address
113 E CENTRAL AVE
SUTHERLIN, OR, 974799556
Browse OR providers · Browse ZIP 97479
Phone
5414592712
Fax
5414599129
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in SUTHERLIN, OR

Name Credential NPI
MR. RICK A. JOHNSON RPH 1811260623
SCOTT EDWARD THOMSON RPH 1861765687
DELOY LAMAR DENNIS PHARMACIST 1124669239
TAYLOR KUMM RPH 1669072278
JOSEPH PRATT PHARMD 1770305294
KATLYNN DIANNE FRASIEUR 1932075603
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.