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Individual

DR. PATRICK MICAL BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2410 FIRE MESA ST, LAS VEGAS, NV 89128-9016
(702) 636-6320
Mailing address
2410 FIRE MESA ST, LAS VEGAS, NV 89128-9016
(702) 636-6320

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
15081
NV

Other

Enumeration date
09/08/2009
Last updated
09/08/2009
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