NPI | 1962011890 |
---|---|
Doing Business As | GREEN STAR CORP PHARMACY |
Entity Type | Organization |
Authorized Contact | FRUSNEL AUGUSTIN Pharmacy Manager/ Pharmacist 123-924-0434 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Enumeration Date | 2020-07-27 |
Last Update Date | 2020-07-27 |