Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SCOTTY RAY BLACK, PHARMD
ActiveDR. SCOTTY RAY BLACK, PHARMD is a Pharmacist healthcare provider located in TISHOMINGO, Oklahoma. NPI 1750630513 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · TISHOMINGO, OK
Registration Details
- NPI Number
- 1750630513
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2012 (13.91817676563 yrs)
- Last Updated
- Sep 6, 2012
- License
-
15142 (OK)
Practice Information
- Address
-
7670 US HIGHWAY 377 STISHOMINGO, OK, 734604460Browse OK providers · Browse ZIP 73460
- Phone
- 5803715318
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in TISHOMINGO, OK
| Name | Credential | NPI |
|---|---|---|
| DR. JASON CHARLES GRAY | PHARM D. | 1649253857 |
| DWIGHT FORBIS | — | 1346128147 |
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.