Individual
KEN R BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
599 RICE AVE, UNION, UNION, SC 29379-1840
(864) 427-7668
(864) 427-1181
Mailing address
599 RICE AVE, UNION, SC 29379-1840
(864) 427-7668
(864) 427-1181
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4711
SC
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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