Individual
MR. BRUCE STANLEY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R PH
Contact information
Practice address
402 E DANIA BEACH BLVD, DANIA BEACH, FL 33004-3040
(954) 920-7660
(954) 920-7660
Mailing address
402 E DANIA BEACH BLVD, DANIA BEACH, FL 33004-3040
(954) 920-7660
(954) 920-7660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS13435
FL
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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