Individual
VICTORIA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8117 W 109TH ST, BLOOMINGTON, MN 55438-2299
(678) 773-9556
Mailing address
8117 W 109TH ST, BLOOMINGTON, MN 55438-2299
(678) 773-9556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119417
MN
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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