| NPI | 1518150598 |
|---|---|
| Doing Business As | GREEN VALLEY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CAROL BELGRAVE President 732-469-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00597500) |
| Additional Taxonomies | 332000000X MilitaryU.S. Coast Guard Pharmacy (Licence: NJ 28RS00597500) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NJ 28RS00597500) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NJ 28RS00597500) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: NJ 28RS00597500) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |