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NPI Code Detail

MEDICARE: EMILY ELIZABETH GREEN PHARMD

MEDICARE: EMILY ELIZABETH GREEN 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
1183500000XPharmacistA1-0005414DE

General Provider Information

NPI Number : 1992358972
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ELIZABETH GREEN PHARMD
Provider Business Mailing Address
First Line : 220 LEWIS FARM DR
Second Line :
City : COCHRANVILLE
State : PA
Zip : 19330-9352
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2012 BRACKENVILLE RD
Second Line :
City : HOCKESSIN
State : DE
Zip : 19707-9568
Country : US
Telephone Number : 302-234-5710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2019
Last Update Date : 07/19/2019

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Directions to “ EMILY ELIZABETH GREEN PHARMD” Practice Location

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