Individual
DR. JAMILAH E GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3013 OCONEE LN, CHARLOTTE, NC 28213-4077
(984) 232-4193
Mailing address
3013 OCONEE LN, CHARLOTTE, NC 28213-4077
(984) 232-4193
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
19191
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8988301
DL
NC
Enumeration date
09/25/2020
Last updated
11/27/2023
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