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1083969588
NATHANIEL GREEN
FLAGSTAFF, AZ
NPI
1083969588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S019128)
Enumeration Date
2012-07-20
Last Update Date
2012-07-20
Business Address
-- NATHANIEL GREEN PharmD
1025 S MILTON RD
FLAGSTAFF, AZ 86001-6349
Phone number: 928-779-9588
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Mailing Address
-- NATHANIEL GREEN PharmD
78 N GRANADA CIR
CASA GRANDE, AZ 85122-5706
Phone number: 520-229-7196
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