Male or Other

Mr. Stephen A. Black PD

Pharmacist in Cullman, AL(View on Map)

Full Name

Mr. Stephen Anthony Black PD

NPI Number

1104411537

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/08/2021

Specialties

(Taxonomies)

Code

183500000X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

9944

Contact
Information

Purpose

Mailing
Location

Address

145 COUNTY ROAD 1147
145 COUNTY ROAD 1147

City

Cullman
Cullman

State

AL
AL

Postal Code

35057-1211
35057-1211

Country

US
US

Telephone Number

(256) 338-2217
(256) 338-2217

Identifiers

Identifier

9944

Identifier State

AL

Identifier Issuer

ALABAMA STATE BOARD OF PHARMACY

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/08/2021

Provider Address

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