JUSTIN S GREEN

CATOOSA, OK
NPI1265714000
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OK  12013)
Enumeration Date2011-09-19
Last Update Date2011-09-19
Business Address
Mr. JUSTIN S GREEN dph
315 N 193RD EAST AVE
CATOOSA, OK 74015-2862
Phone number: 918-266-8837
Mailing Address
Mr. JUSTIN S GREEN dph
315 N 193RD EAST AVE
CATOOSA, OK 74015-2862
Phone number: 918-266-8837