Organization
GREEN VALLEY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON SHRADER RPH (PHARMACIST/OWNER)
(301) 371-7835
Entity
Organization
Contact information
Practice address
11791 FINGERBOARD RD, SUITE 16, MONROVIA, MD 21770-9263
(301) 865-2200
(301) 865-2212
Mailing address
11791 FINGERBOARD RD, SUITE 16, MONROVIA, MD 21770-9263
(301) 865-2200
(301) 865-2212
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PO3148
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127199
NABP
MD
Enumeration date
06/20/2006
Last updated
03/07/2023
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