Individual
JAMES MARK GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
5401 TINKER DIAGONAL, DEL CITY, OK 73115-4622
(405) 670-1030
(405) 670-1036
Mailing address
5401 TINKER DIAGONAL, DEL CITY, OK 73115-4622
(405) 670-1030
(405) 670-1036
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9958
OK
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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