Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CARLY JOSEPHINE BLACK, PHARMD
ActivePharmacist · PARK RAPIDS, MN
Registration Details
- NPI Number
- 1609508043
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2022 (3.8760495061162 yrs)
- Last Updated
- Jun 24, 2022
- License
-
125601 (MN)
Practice Information
- Address
-
101 MAIN AVE NPARK RAPIDS, MN, 564701511Browse MN providers · Browse ZIP 56470
- Phone
- 2187323342
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in PARK RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| MICHAEL L VETTEL | RPH | 1093976581 |
| JACKIE R REHM | RPH | 1659516771 |
| DR. SARA MARIE JANSEN ROWE | PHARMD | 1881971703 |
| LISA PETRIE | — | 1952734493 |
| PAUL JILEK | PHARMD | 1295142123 |
| APRIL MARIE GRIEGER | — | 1568847218 |
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.