Individual
WILLIAM BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
343 S 500 E APT 217, SALT LAKE CITY, UT 84102-4024
(270) 349-3009
Mailing address
343 S 500 E APT 217, SALT LAKE CITY, UT 84102-4024
(270) 349-3009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
017073
KY
183500000X
Pharmacist
Primary
9048650-1701
UT
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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