Mark D Black is a Pharmacist in Eagle Butte, South Dakota. Mark D Black practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Mark D Black is 1669508610. The last update date is 2007-07-08.
Mark D Black's current location address is 317 Main St, Eagle Butte, South Dakota. You can contact this provider via phone number 6059647724 and fax number 6053641340. The mailing address for Mark D Black is 317 Main St, Eagle Butte, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark D Black |
|---|---|
| Address | 317 Main St, Eagle Butte, South Dakota |
| Phone Number | 6059647724 |
| Fax Number | 6053641340 |
| Sole Proprietor | Y |
| Credentials | PHARM D |
NPI Number Detail
| NPI Number | 1669508610 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 317 Main St |
|---|---|
| City | Eagle Butte |
| State | South Dakota (SD) |
| Post Code | 57625 |
| Phone Number | 6059647724 |
| Fax Number | 6053641340 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | P6007 |
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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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Post Comment/ Review Below
What is the Mark D Black's 1669508610?
The Mark D Black's NPI (National Provider Identifier) Number is 1669508610. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark D Black located?
The Mark D Black is located at 317 Main St, Eagle Butte, SD 57625.
What is Mark D Black's area of expertise and its corresponding taxonomy classification?
The Mark D Black's field of specialization is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their areas of practice.
When did the Mark D Black receive its 1669508610?
The Mark D Black was issued its 1669508610 on 2007-02-26, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Mark D Black most recently updated or revised?
The information pertaining to Mark D Black, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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