| Mr Ian Leonard Black, RPH | |
|
113 E Central Ave, Sutherlin, OR 97479-9556 | |
| (541) 459-2712 | |
| (541) 459-9129 |
| Full Name | Mr Ian Leonard Black |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 113 E Central Ave, Sutherlin, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508205816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | RPH-0007673-P (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ian Leonard Black, RPH Po Box 280, Sutherlin, OR 97479-0280 Ph: (541) 459-2712 | Mr Ian Leonard Black, RPH 113 E Central Ave, Sutherlin, OR 97479-9556 Ph: (541) 459-2712 |
Deloy Lamar Dennis, PHARMACIST Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 113 E Central Ave, Sutherlin, OR 97479 Phone: 541-915-7323 | |
Dr. Brady Thomas Mcnulty, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 113 E Central Ave, Sutherlin, OR 97479 Phone: 541-459-2712 Fax: 541-459-9129 | |
Taylor Kumm, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 113 E Central Ave, Sutherlin, OR 97479 Phone: 541-459-2712 | |
Mr. Rick A. Johnson, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 833 E Central Ave, Po Box X, Sutherlin, OR 97479 Phone: 541-459-0626 Fax: 866-269-5778 | |
Scott Edward Thomson, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 833 E Central Ave, Po Box X, Sutherlin, OR 97479 Phone: 541-459-0626 Fax: 541-459-0712 |