Organization
BLACK DRUG INC
Active
Other names
BLACK DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BLACK (PRESIDENT)
(918) 479-5223
Entity
Organization
Contact information
Practice address
412 E MAIN ST, LOCUST GROVE, OK 74352-5117
(918) 479-5223
(918) 479-6510
Mailing address
PO BOX 669, LOCUST GROVE, OK 74352-0669
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30-4476
OK
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100232740A
—
OK
01
—
2081532
PK
—
Enumeration date
01/16/2007
Last updated
09/27/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up