Mr. Eric Lee Black is a pharmacist in Mount Vernon, Illinois. Patients can reach him at 2339 Broadway St, Mount Vernon or contact him on 618-242-8776. Mr. Eric Lee Black is 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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Mr. Eric Lee Black speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
Name:
Mr. Eric Lee Black
Specialization:
Pharmacist
Credentials:
R.PH
Gender:
Male
Location:
2339 Broadway St, Mount Vernon, Illinois, 62864-2925
Phone:
618-242-8776
Fax:
618-242-0424
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mr. Eric Lee Black are as mentioned below.
NPI Number:
1598877961
NPI Enumeration Date:
31 Aug, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Eric Lee Black are as mentioned below.
Specialization
License Number
State
Status
Pharmacist
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Eric Lee Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
371268476001
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1505 Pace Ave, Mount Vernon, Illinois
Zip:
62864-2834
Phone Number:
618-614-5505
Fax Number:
618-242-0424
Patients can reach Mr. Eric Lee Black at 2339 Broadway St, Mount Vernon, Illinois or can call on phone at 618-242-8776.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.