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Individual

DEREK R. GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1401 PROFESSIONAL BLVD, SUITE 101, EVANSVILLE, IN 47714-8011
(812) 962-3500
(812) 962-3599
Mailing address
1401 PROFESSIONAL BLVD, SUITE 101, EVANSVILLE, IN 47714-8011
(812) 962-3500
(812) 962-3599

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020548A
IN

Other

Enumeration date
11/12/2007
Last updated
11/12/2007
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