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Michelle A Black

Pharmacist in Saint Joseph, MO. Individual provider (NPI-1).

NPI number1487948758
StatusActive
Last updated in NPPESJun 4, 2011

Details

NPI
1487948758
Entity type
Individual (NPI-1)
Name
Michelle A Black
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 4, 2011
Last updated
Jun 4, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist044919MOYes

Practice location

5201 N Belt Hwy Ste H
T-1977
Saint Joseph, MO 64506-1297

Phone 816-671-0822 · Fax 816-671-0822

Mailing address

5201 N Belt Hwy Ste H
T-1977
Saint Joseph, MO 64506-1297

Phone 816-671-0822 · Fax 816-671-0822

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