Dr Scotty Ray Black, PHARMD is a
Pharmacist based in Tishomingo, Oklahoma. Dr Scotty Ray Black is licensed to practice in Oklahoma (license number 15142) and his current practice location is
7670 Us Highway 377 S, Tishomingo, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 371-5318.
NPI number for Dr Scotty Ray Black is 1750630513 and his current mailing address is 7670 Us Highway 377 S, Tishomingo, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750630513.
Healthcare Provider's Profile
| Full Name | Dr Scotty Ray Black |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 7670 Us Highway 377 S, Tishomingo, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750630513
- Provider Enumeration Date: 09/06/2012
- Last Update Date: 09/06/2012
Medical Identifiers
Medical identifiers for Dr Scotty Ray Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750630513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 15142 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Scotty Ray Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Scotty Ray Black, PHARMD
7670 Us Highway 377 S,
Tishomingo, OK 73460-4460
Ph: (580) 371-5318 | Dr Scotty Ray Black, PHARMD
7670 Us Highway 377 S,
Tishomingo, OK 73460-4460
Ph: (580) 371-5318 |
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