Individual
DR. LORRAINE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
178 E HANOVER AVE, CEDAR KNOLLS, NJ 07927-2038
(973) 829-6820
Mailing address
7 FAIRFIELD RD, SOMERSET, NJ 08873-1618
(973) 590-4937
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03586200
NJ
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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