Individual
JOSEPH SCOTT BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1039 E HIGHWAY 30, GONZALES, LA 70737-4757
(225) 647-4182
(844) 337-6197
Mailing address
1039 E HIGHWAY 30, GONZALES, LA 70737-4757
(225) 647-4182
(844) 337-6197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
46821
TX
183500000X
Pharmacist
Primary
PST.0015253
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46821
TEXAS PHARMACY LICENSE ID
TX
01
—
PST.0015253
LOUISIANA PHARMACY LICENSE ID
LA
Enumeration date
12/13/2022
Last updated
12/13/2022
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