Individual
NANCY C BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 N MAIN ST, GREER, SC 29650-1921
(864) 877-0753
Mailing address
107 CALDWELL ST, GREER, SC 29651-1807
(864) 879-3991
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
17135
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-03095
SCDHEC BUREAU OF DRUG CON
SC
05
—
730956
—
SC
Enumeration date
01/23/2007
Last updated
03/07/2023
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