Individual
MR. FORREST C GREEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
3403 FOREST DR, KROGER PHARMACY, COLUMBIA, SC 29204-4028
(803) 782-4027
(803) 738-2415
Mailing address
1016 REED CT, LEXINGTON, SC 29072
(803) 358-9310
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10958
SC
Other
Enumeration date
10/16/2006
Last updated
12/13/2011
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