Individual
MS. COURTNEY RENEE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7340 W 21ST ST N STE 105, WICHITA, KS 67205-1770
(316) 425-4783
(316) 425-4788
Mailing address
7340 W 21ST ST N STE 105, WICHITA, KS 67205-1770
(316) 425-4783
(316) 425-4788
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-15257
KS
Other
Enumeration date
09/24/2011
Last updated
10/09/2023
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