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Individual

MR. CARTER S. BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
1536 N PATTON AVE, ARLINGTON HEIGHTS, IL 60004-3661
(847) 392-9086
Mailing address
1536 N PATTON AVE, ARLINGTON HEIGHTS, IL 60004-3661
(847) 392-9086

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051029950
IL

Other

Enumeration date
11/05/2010
Last updated
11/05/2010
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