Individual provider · Type 1 NPI

Richard Wayne Black

Pharmacist · Idaho Falls, ID

NPI number 1093545014 Active

Practice location

2325 Coronado St
Idaho Falls, ID 83404-7407

Call (208) 557-2738 Map

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X7161471 (ID)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1093545014

Richard Wayne Black's National Provider Identifier is 1093545014, issued on Aug 5, 2024. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 5, 2024.