Individual
DR. KEISHA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7724 BUCK POND RD, N CHARLESTON, SC 29418-2127
(803) 807-0508
Mailing address
7724 BUCK POND RD, N CHARLESTON, SC 29418-2127
(803) 807-0508
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11866
SC
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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