Individual
MR. EARL CLIFFORD BLACK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1403 E MAIN ST, LINCOLNTON, NC 28092-3901
(704) 735-5159
(704) 748-1257
Mailing address
4376 SCENIC VIEW CT, IRON STATION, NC 28080-8424
(704) 307-7100
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006766
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0555110
—
NC
Enumeration date
01/21/2011
Last updated
01/21/2011
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