| NPI | 1265548119 |
|---|---|
| Doing Business As | GREEN BROTHERS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHARLES GREEN CEO 209-466-2381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: CA PHY10612) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |