Individual
HYDIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
814 E MAIN ST, LAURENS, SC 29360-3535
(864) 984-5283
Mailing address
194 JOE WALKER RD, UNION, SC 29379-7694
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43598
SC
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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