| NPI | 1609256817 |
|---|---|
| Doing Business As | GREEN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | THU HO Owner, PIC, AO 520-298-9038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AZ Y006461) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2018-07-19 |