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NPI Code Detail

MEDICARE: DR. BRIAN M GREENE PHARMD

MEDICARE: DR. BRIAN M GREENE PHARMD
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
1183500000XPharmacist28RI02892500NJ

General Provider Information

NPI Number : 1871802884
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN M GREENE PHARMD
Provider Business Mailing Address
First Line : 216 POPLAR ST
Second Line :
City : TURNERSVILLE
State : NJ
Zip : 08012-1742
Country : US
Telephone Number : 856-371-1543
Fax Number :
Provider Business Practice Location Address
First Line : 907 N HIGH ST
Second Line :
City : MILLVILLE
State : NJ
Zip : 08332-3762
Country : US
Telephone Number : 856-825-7742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2010
Last Update Date : 09/26/2010

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