| NPI | 1558376178 |
|---|---|
| Doing Business As | GREENE SUPER DRUG |
| Entity Type | Organization |
| Authorized Contact | CHARLES RAY SPIVEY President 334-644-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 104710) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-12-26 |