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

Richard Wayne Black

Individual provider Pharmacist · NPI 1093545014

Richard Wayne Black is a Pharmacist in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2024.

Licensed in
ID
In the registry since
2024

Practice location Address checks out

2325 Coronado St
Idaho Falls, ID 83404-7407
Phone: (208) 557-2738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 7161471 (ID)

Record details

NPI number1093545014
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address2325 Coronado St, Idaho Falls, ID 83404-7407

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