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NPI Code Detail

MEDICARE: ANN JOHNSON GREENE R.PH.

MEDICARE:   ANN JOHNSON GREENE  R.PH.
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
1183500000XPharmacist17622FL

General Provider Information

NPI Number : 1285653865
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN JOHNSON GREENE R.PH.
Provider Business Mailing Address
First Line : 757 EDGEWOOD AVE N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32254-3013
Country : US
Telephone Number : 904-388-0514
Fax Number : 904-388-2596
Provider Business Practice Location Address
First Line : 757 EDGEWOOD AVE N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32254-3013
Country : US
Telephone Number : 904-388-0514
Fax Number : 904-388-2596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 07/08/2007

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Directions to “ ANN JOHNSON GREENE R.PH.” Practice Location

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