| NPI | 1336735901 |
|---|---|
| Doing Business As | COMPOUNDING PHARMACY OF GREEN |
| Entity Type | Organization |
| Authorized Contact | ROSARIO S CARCIONE President 330-899-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2021-12-06 |