Individual
MIRANDA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
420 LOWELL DR SE FL 5, HUNTSVILLE, AL 35801-3754
(256) 265-5864
Mailing address
154 SANTA MARIA DR NE, HUNTSVILLE, AL 35811-1093
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22301
AL
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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