NPI 1073896783

Susan Black

Practitioner Pharmacist Fergus Falls, MN

Practice location

Address: 326 W Lincoln Ave, Fergus Falls, MN 56537-2027
Phone: (218) 736-1028

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 113841 (MN)

Other Pharmacist providers in Minnesota →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 4079 (ND)

Registry record

NPI: 1073896783
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2011
Record last updated: 20 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.