Individual
BIANCA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6817 W PEORIA AVE, PEORIA, AZ 85345-9324
(623) 878-5078
Mailing address
6817 W PEORIA AVE, PEORIA, AZ 85345-9324
(623) 878-5078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S013727
AZ
Other
Enumeration date
01/12/2010
Last updated
02/02/2011
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