Individual
MS. HOLLY MARIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2811 S FILMORE ST, SALT LAKE CITY, UT 84106-3546
(801) 556-4644
Mailing address
2811 S FILMORE ST, SALT LAKE CITY, UT 84106-3546
(801) 556-4644
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
334047-1701
UT
Other
Enumeration date
11/28/2014
Last updated
11/28/2014
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