MEDICARE: GREENS DRUGS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	0534164-001	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689692626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREENS DRUGS LLC

Provider Business Mailing Address
First Line	:	PO BOX 58
Second Line	:
City	:	NEWELLTON
State	:	LA
Zip	:	71357-0058
Country	:	US
Telephone Number	:	318-467-5225
Fax Number	:	318-467-5228

Provider Business Practice Location Address
First Line	:	102 N MAIN ST
Second Line	:
City	:	NEWELLTON
State	:	LA
Zip	:	71357-9656
Country	:	US
Telephone Number	:	318-467-5225
Fax Number	:	318-467-5228

Authorized Official
Title or Position	:	PIC/MANAGER
Name	:	ALISON GREEN
Credential	:
Telephone Number	:	318-467-5225

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	03/02/2026

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Directions to “GREENS DRUGS LLC ” Practice Location

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