Individual
DR. MICHAEL SHANE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
20381 ARCH ST, LITTLE ROCK, AR 72206-9218
(501) 888-2830
(501) 888-3118
Mailing address
9045 MARS HILL RD, BAUXITE, AR 72011-9162
(501) 258-2316
(501) 888-3118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD09762
AR
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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