Individual
JUSTIN TYLER GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
9815 ROSE COMMONS DR, HUNTERSVILLE, NC 28078-3334
(704) 948-4806
(704) 464-3234
Mailing address
9815 ROSE COMMONS DR, HUNTERSVILLE, NC 28078-3334
(704) 948-4806
(704) 464-3234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26444
NC
183500000X
Pharmacist
36767
SC
Other
Enumeration date
08/13/2016
Last updated
03/01/2017
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