Individual
RUTHIE R BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1450 S HIGHWAY 97, REDMOND, OR 97756-8864
(541) 548-1731
(541) 548-5176
Mailing address
1450 S HIGHWAY 97, REDMOND, OR 97756-8864
(541) 548-1731
(541) 548-5176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-009879
OR
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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