# GREENLEAF PHARMACY LLC LTC

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

## Provider details

- **NPI number:** 1649092032
- **Authorized official:** UYEN LE-KONG PHARMD (PHARMACIST/CO-OWNER)
- **Authorized official phone:** (617) 566-2281

## Contact information

- **Practice address:** 1558 COMMONWEALTH AVE, BRIGHTON, MA 02135-5033
- **Practice address phone:** (617) 566-2281
- **Practice address fax:** (617) 232-4084
- **Mailing address:** 1558 COMMONWEALTH AVE, BRIGHTON, MA 02135-5033
- **Mailing address phone:** (617) 566-2281
- **Mailing address fax:** (617) 232-4084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/28/2024
- **Last updated:** 10/28/2024