| NPI | 1275632036 |
|---|---|
| Doing Business As | GREEN CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARY CROWE Pharmacy Director 318-251-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.005703-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2018-07-19 |