Individual
REGINALD EUGENE GREEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 FOUNDERS BAY RD, MURRELLS INLET, SC 29576-8089
(843) 651-8863
(843) 651-8864
Mailing address
101 FOUNDERS BAY RD, MURRELLS INLET, SC 29576-8089
(843) 651-8863
(843) 651-8864
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37301
SC
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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