Individual provider · Type 1 NPI

Blade William Black, PharmD

Pharmacist · Wichita, KS

NPI number 1639954092 Active

Practice location

5500 E Kellogg Dr
Wichita, KS 67218-1607

Mailing address

12109 E Clark St
Wichita, KS 67207-6724

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X1-109251 (KS)

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 1639954092

Blade William Black, PharmD's National Provider Identifier is 1639954092, issued on Aug 25, 2023. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Wichita, KS. The record was last updated on Aug 25, 2023.