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

Mr. Edsel Ray Black Sr., RPH

Individual provider Pharmacist · NPI 1881903888

Mr. Edsel Ray Black Sr., RPH is a Pharmacist in Cleveland, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2010
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

184 W Kytle St Ste A
Cleveland, GA 30528-9607
Phone: (706) 219-2626
Fax: (706) 219-1253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH009632 (GA)

Record details

NPI number1881903888
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedSeptember 25, 2010
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022

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