Individual
JERMAINE L GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
970 N MAIN RD, VINELAND, NJ 08360-8266
(856) 563-1599
Mailing address
970 N MAIN RD, VINELAND, NJ 08360-8266
(856) 563-1599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03522800
NJ
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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