Individual
MR. ROBERT MARCUS BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1500 N TRENTON ST, RUSTON, LA 71270-2328
(318) 254-8256
Mailing address
1500 N TRENTON ST, RUSTON, LA 71270-2328
(318) 254-8256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15104
LA
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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