| NPI | 1558689299 |
|---|---|
| Doing Business As | GREEN EARTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LINDA BORTELL President/CEO 501-613-3856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20628) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2011-10-21 |