Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENNAN DUANE BLACK, PHARM.D.
ActivePharmacist Clinician (PhC) · CRESWELL, OR
Registration Details
- NPI Number
- 1760755110
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2012 (14.184989502068 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
RPH-0012763 (OR)RPH-0012763 (OR)
Practice Information
- Address
-
175 E OREGON AVECRESWELL, OR, 974269674Browse OR providers · Browse ZIP 97426
- Phone
- 5418952413
- Fax
- 5418952436
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
- Additional Specialty
- Pharmacist
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.