Individual
DR. EDDIE LAMAR BLACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
718 MILTON AVE, ROCK HILL, SC 29730-3654
(803) 608-0445
Mailing address
718 MILTON AVE, ROCK HILL, SC 29730-3654
(803) 608-0445
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11403
SC
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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