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Paul Black, PHARM.D. — NPI 1174515399, Boise, ID | NPI Central

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NPI 1174515399

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Paul Black, PHARM.D.

NPI 1174515399 · Pharmacotherapy Pharmacist · Boise, ID

Provider details

NPI number: 1174515399
Entity type: Individual
Primary specialty: Pharmacotherapy PharmacistPharmacy Service Providers
Credential: PHARM.D.
Sex: Male
Sole proprietor: No
License: P5371 (ID)

Practice location

500 W Fort St

Boise, ID 83702-4501

Phone: (208) 422-1000

More ID providers

Mailing address

1931 E Dworshak Dr

Meridian, ID 83642-6779

Registry dates

Enumerated: 2005-08-16
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.