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Organization

GREENE PHARMACY

Active
Other names
GREENE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID GREENE BACH OF SCIENCE (PRESIDENT)
(573) 695-4533
Entity
Organization

Contact information

Practice address
128 W MAIN ST, STEELE, MO 63877-1434
(573) 695-4533
(573) 695-3327
Mailing address
128 W MAIN ST, STEELE, MO 63877-1434
(573) 695-4533
(573) 695-3327

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
003850
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2049643
PK
05
621294404
MO
Enumeration date
02/16/2007
Last updated
09/08/2017
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