Individual
MS. CARITA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3610 GRAND AVE, FORT SMITH, AR 72904-6898
(479) 783-5171
Mailing address
3610 GRAND AVE, FORT SMITH, AR 72904-6842
(479) 783-5171
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07039
AR
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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