Individual
MR. STEPHEN ANTHONY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PD
Contact information
Practice address
145 COUNTY ROAD 1147, CULLMAN, AL 35057-1211
(256) 338-2217
Mailing address
145 COUNTY ROAD 1147, CULLMAN, AL 35057-1211
(256) 338-2217
(256) 615-6666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9944
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9944
ALABAMA STATE BOARD OF PHARMACY
AL
Enumeration date
03/08/2021
Last updated
03/08/2021
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