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Mr. Eric Lee Black, RPH
Pharmacist in Mount Vernon, Illinois
NPI 1598877961

Eric Lee Black is a Pharmacist based in Mount Vernon, IL. Eric Lee Black practices in Mount Vernon, IL and has the professional credentials of RPH. The NPI Number for Eric Lee Black is 1598877961 and holds a License No. (Illinois).

The current practice location address for Eric Lee Black is 2339 Broadway St, Mount Vernon, IL and can be reached out via phone at 618-242-8776 and via fax at 618-242-0424.

Location: 2339 Broadway St, Mount Vernon, IL, 62864-2834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598877961
Provider Name
Eric Lee Black
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
2339 Broadway St, Mount Vernon, IL, 62864-2834
Phone Number
618-242-8776
Fax Number
618-242-0424
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
371268476001 05 IL
institution
Provider Business Practice Location Address Details
Address
2339 Broadway St
City
Mount Vernon
State
Illinois
Zip
62864-2925
Phone Number
618-242-8776
Fax Number
618-242-0424
person
Provider Business Mailing Address Details
Address
2339 Broadway St
City
Mount Vernon
State
Illinois
Zip
62864-2925
Phone Number
618-242-8776
Fax Number
618-242-0424
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
(Illinois)
Definition
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.
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