Eric Lee Black is a Pharmacist in Mount Vernon, Illinois. Eric Lee Black practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Eric Lee Black is 1598877961. The last update date is 2007-07-09.
Eric Lee Black's current location address is 1505 Pace Ave, Mount Vernon, Illinois. You can contact this provider via phone number 6186145505 and fax number 6182420424. The mailing address for Eric Lee Black is 1505 Pace Ave, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Lee Black |
|---|---|
| Address | 1505 Pace Ave, Mount Vernon, Illinois |
| Phone Number | 6186145505 |
| Fax Number | 6182420424 |
| Sole Proprietor | N |
| Credentials | R.PH |
NPI Number Detail
| NPI Number | 1598877961 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1505 Pace Ave |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628642834 |
| Phone Number | 6186145505 |
| Fax Number | 6182420424 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 371268476001 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Eric Lee Black by the Centers for Medicare & Medicaid Services?
The Eric Lee Black has been issued the NPI (National Provider Identifier) 1598877961, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Eric Lee Black's facilities are situated?
The facilities of Eric Lee Black are physically located at the following address: 1505 Pace Ave, Mount Vernon, IL, 628642834.
What is Eric Lee Black's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eric Lee Black is Pharmacist, and the taxonomy code that classifies this field of practice is 183500000X.
On what date was the 1598877961 assigned to Eric Lee Black?
The Eric Lee Black was issued its 1598877961 on 2006-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Eric Lee Black, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Eric Lee Black, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.