Lea Williamson Black, PHARMACIST

Pharmacist · Idabel, OK

Individual Active NPI

NPI number 1669072047

Practice location

1907 SE Washington St
Idabel, OK 74745-5253
Phone
(580) 286-3323
Fax
(580) 286-2396

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NPI record

NPI
1669072047
Entity type
Individual (Type 1)
Enumeration date
October 27, 2020
Last updated
October 27, 2020
Certified
October 27, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 11827 OK

Mailing address

3408 State Highway 37
Garvin, OK 74736-5314
Phone
(580) 212-8678

About Lea Black

Lea Williamson Black, PHARMACIST is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1907 SE Washington St, Idabel, OK 74745-5253. The NPI number 1669072047 was assigned on October 27, 2020 and the record was last updated on October 27, 2020.

Lea Black lists a license in the registry: #11827 (OK) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lea Williamson Black, PHARMACIST?

The NPI number is 1669072047.

What is the phone number of Lea Black?

The phone number listed for the practice location is (580) 286-3323.

Where is Lea Black located?

1907 SE Washington St, Idabel, OK 74745-5253.

What is the taxonomy code for Lea Black?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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