Black, Mariah

Black, Mariah is an individual health care provider with primary practice located at 9211 E 21St St N , Wichita KS 67206-2900. She recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Black, Mariah can be contacted via phone (316) 609-4501.

Contact Information

Primary practice address
9211 E 21St St N Wichita KS 67206-2900
Phone: (316) 609-4501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 1-100805 Kansas

Profile Details

NPI number 1063093995
LBN Legal business name Black, Mariah
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2021
Last updated Apr 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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