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Individual

MRS. MARY DENISE GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
9650 AIRLINE HWY, BATON ROUGE, LA 70815-5505
(225) 926-9604
(225) 926-9691
Mailing address
9650 AIRLINE HWY, BATON ROUGE, LA 70815-5505
(225) 926-9604
(225) 926-9691

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13329
LA

Other

Enumeration date
09/03/2010
Last updated
09/03/2010
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