Individual
HERNAN G BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2727 W NORTH AVE, MILWAUKEE, WI 53208-1549
(414) 933-9150
(414) 933-1620
Mailing address
2727 W NORTH AVE, MILWAUKEE, WI 53208-1549
(414) 933-9150
(414) 933-1620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16362
WI
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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