Individual
MR. DAVID MATTHEW BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6901 MIAMI AVE, MADEIRA, OH 45243-2632
(513) 272-3409
Mailing address
6901 MIAMI AVE, MADEIRA, OH 45243-2632
(513) 272-3409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03117446
OH
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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