Organization
GREEN VALLEY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON J MICAN JR. (OWNER)
(301) 865-2200
Entity
Organization
Contact information
Practice address
11791 FINGERBOARD RD, MONROVIA, MD 21770-9263
(301) 865-2200
(301) 865-2212
Mailing address
11791 FINGERBOARD RD, MONROVIA, MD 21770-9263
(301) 865-2212
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PO03148
MD
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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