Individual
MATTHEW TYLER GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
6437 N MACARTHUR BLVD, WARR ACRES, OK 73132-6503
(405) 495-1001
Mailing address
6204 SE 79TH ST, OKLAHOMA CITY, OK 73135-7006
(405) 650-9150
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14945
OK
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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