Black, Brennan Duane

Black, Brennan Duane is an individual health care provider with primary practice located at 175 E Oregon Ave , Creswell OR 97426-9674. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is his primary health care specialty. Black, Brennan Duane can be contacted via phone (541) 895-2413.

Contact Information

Primary practice address
175 E Oregon Ave Creswell OR 97426-9674
Phone: (541) 895-2413
Fax: (541) 895-2436
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH-0012763 Oregon
Pharmacy Service Providers / Pharmacist 183500000X RPH-0012763 Oregon

Profile Details

NPI number 1760755110
LBN Legal business name Black, Brennan Duane
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2012
Last updated Jul 21st, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760755110 NPPES
Oregon Other RPH-0012763 STATE PHARMACIST LICENSE

Popular Providers