Individual provider · Type 1 NPI

Nicole Black

Pharmacist · Meridian, ID

NPI number 1679161152 Active

Practice location

3263 N Eagle Rd
Meridian, ID 83646-5702

Mailing address

3800 W Perugia St Apt H204
Meridian, ID 83642-4981

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XP9165 (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…

4 other providers at this address

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About NPI 1679161152

Nicole Black's National Provider Identifier is 1679161152, issued on Jan 9, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Meridian, ID. The record was last updated on Jan 9, 2021.