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Individual
DR. DAVID LYAL GREEN
Active
Individual
DR. DAVID LYAL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0202010157
VA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
051290310
IL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
9640
NE
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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