Individual
JEFFRY LEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4690 SHADYSIDE LN, MORGANTOWN, WV 26508-4400
(704) 677-0693
Mailing address
5400 ROCK CHALK DR APT 23308, LAWRENCE, KS 66049-5168
(704) 677-0693
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12436
NC
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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