Larry Wayne Green RPH, CDE

NPI 1770558371 - Pharmacist - 1835P1200X

NPI Details
NPI 1770558371
Gender Male
Enumeration Date 02/17/2006
Last Updated 06/20/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
MADIGAN ARMY MEDICAL CENTER
PHARMACY DEPARTMENT ATTN: MCHJ - PH
TACOMA WA, 98431-0001, US
Phone (253) 968-2607
Fax (253) 968-3349
Business Location
3715 91ST AVENUE CT E
EDGEWOOD WA, 98371-2214, US
Phone (253) 468-5566
Fax (253) 968-3349
Toxanomy
Taxonomy Code 1835P1200X
License State Louisiana
License Number 13254
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According to our database, Mr. Larry Wayne Green RPH, CDE NPI is 1770558371, taxonomy code is 1835P1200X and license number is 13254, license state is located at Louisiana. Larry Wayne Green RPH, CDE physically located at Madigan Army Medical Center, Tacoma WA, 98431-0001. NPI Number Larry Wayne Green RPH, CDE has the Individual type.

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1770558371 NPI number is provided on an as is basis without warranty of any kind. 1770558371 is maintained by the National Plan & Provider Enumeration System. The contents of Larry Wayne Green RPH, CDE are for informational purposes only.