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Organization
GREEN PHARMACY
Active
Organization
GREEN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC YANG (OWNER)
(312) 731-7564
Entity
Organization
Contact information
Practice address
150 S OAK PARK AVE, UNIT 307, OAK PARK, IL 60302-2984
(312) 731-7564
Mailing address
219 W BUFFALO ST, NEW BUFFALO, MI 49117-1807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
NULL
183500000X
Pharmacist
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
06/04/2011
Last updated
06/04/2011
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