IndividualActive
Jane Black
NPI 1942389523 · Pharmacy Technician · Rolla, MO
Provider details
- NPI number
- 1942389523
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2000146994 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
12400 Private Dr 5308
Rolla, MO 65401
Phone: (573) 341-9404
Fax: (573) 341-9403
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1007
Rolla, MO 65402-1007
Registry dates
- Enumerated
- 2006-11-03
- 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.