Organization
GREENTREE PHARMACY LLC
Active
Other names
GREENTREE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL MATTHEW HUESEMAN PHARMD (OWNER/MANAGER)
(314) 394-2404
Entity
Organization
Contact information
Practice address
301 S KIRKWOOD RD, KIRKWOOD, MO 63122-6117
(314) 394-2404
(314) 394-2120
Mailing address
301 S KIRKWOOD RD, KIRKWOOD, MO 63122-6117
(314) 394-2404
(314) 394-2120
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MO
Other
Enumeration date
09/25/2012
Last updated
03/13/2013
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