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Individual

JOHN S GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
25495 RAVENWOOD CIR, DAPHNE, AL 36526-8255
(850) 567-9126
(904) 212-1042
Mailing address
25495 RAVENWOOD CIR, DAPHNE, AL 36526-8255
(850) 567-9126
(904) 212-1042

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
13379
AL
183500000X
Pharmacist
Primary
32083
FL

Other

Enumeration date
08/31/2010
Last updated
08/31/2010
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