Organization
GREEN SPECIALTY PHARMACY
Active
Other names
BENZER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH PATEL RPH (PRESIDENT)
(810) 230-9900
Entity
Organization
Contact information
Practice address
G3333 BEECHER RD, B, FLINT, MI 48532-3619
(810) 230-9900
(810) 230-9988
Mailing address
G3333 BEECHER RD # B, FLINT, MI 48532-3619
(810) 230-9900
(810) 230-9988
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301008892
MI
3336S0011X
Specialty Pharmacy
5301008892
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2368858
OTHER ID NUMBER
—
Enumeration date
10/03/2006
Last updated
11/04/2008
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