Individual
ROY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
735 MAIN ST N, NEW ELLENTON, SC 29809-2518
(803) 443-0077
(803) 443-0078
Mailing address
148 WALDEN BROOK WAY, AIKEN, SC 29803
(803) 331-3250
(803) 443-0078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4090
SC
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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