Individual
MARISA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 E MAIN RD, MIDDLETOWN, RI 02842-4983
(401) 847-0254
Mailing address
197 CASSANDRA LN, NORTH KINGSTOWN, RI 02852-3411
(401) 569-2427
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3924
RI
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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