J & I BLACK, INC.
Pharmacy at Central Ave, Sutherlin, OR

License number
Oregon RPH-7673
Category
Pharmacy
Type
Pharmacist
Owner
Name: MR. IAN L BLACK B.S., R.PH.
Title: PRESIDENT
Phone: (541) 459-2712
Address
Address
113 E Central Ave, Sutherlin, OR 97479
National Provider ID: 1790729077
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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J & I BLACK, INC

Sutherlin, OR

Industry:
Drug Store
Registration:
Mar 19, 1994
Phone:
(541) 459-4181 (Phone)
Addresses:
113 E Central, Sutherlin, OR 97479 (Physical)
PO Box 309, Sutherlin, OR 97479 (Mailing)
State ID:
39119383
Business type:
Domestic Business Corporation
Pharmacists:
Ian Black (Owner, Pharmacist),Judy Black (Secretary, Owner),Penny A. Rue Pharmacist, inactive,...
Agent:
Mark Hendershott,251 N Umpqua, Sutherlin, OR 97479 (Physical)

Pharmacy licenses in Oregon