Individual
MR. JAMES LEWIS BLACK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2001 CRYSTAL SPRING AVE, CARILION MEDICAL CENTER PHCY, SUITE 110, ROANOKE, VA 24014
(540) 853-0905
(540) 853-0910
Mailing address
707 MARCUS RD, ROCKY MOUNT, VA 24151-4309
(540) 483-8513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006583
VA
Other
Enumeration date
06/25/2007
Last updated
10/10/2008
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