Individual
COPELAND GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPHT
Contact information
Practice address
3800 S CONGRESS AVE, SUITE 13, BOYNTON BEACH, FL 33426-8424
(561) 733-6665
(561) 733-6663
Mailing address
3800 S CONGRESS AVE, SUITE 13, BOYNTON BEACH, FL 33426-8424
(561) 733-6665
(561) 733-6663
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT 32355
FL
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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