Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lea Williamson Black, PHARMACIST

Individual provider Pharmacist · NPI 1669072047

Lea Williamson Black, PHARMACIST is a Pharmacist in Idabel, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2020

Practice location Address checks out

1907 SE Washington St
Idabel, OK 74745-5253
Phone: (580) 286-3323
Fax: (580) 286-2396
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 11827 (OK)

Record details

NPI number1669072047
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedOctober 27, 2020
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020
Mailing address3408 State Highway 37, Garvin, OK 74736-5314

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