# GREEN PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366736613
- **Authorized official:** MR. ERIC YANG (OWNER)
- **Authorized official phone:** (312) 731-7564

## Contact information

- **Practice address:** 150 S OAK PARK AVE, UNIT 307, OAK PARK, IL 60302-2984
- **Practice address phone:** (312) 731-7564
- **Mailing address:** 219 W BUFFALO ST, NEW BUFFALO, MI 49117-1807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | — | NULL | — |
| 183500000X | Pharmacist | — | — | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2011
- **Last updated:** 06/04/2011