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Individual

MR. JAMES EARL GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1401 OLD EXETER RD, WALMART PHARMACY #0914, CASSVILLE, MO 65625-9430
(417) 847-3180
(417) 847-3650
Mailing address
1401 OLD EXETER RD, WALMART PHARMACY #0914, CASSVILLE, MO 65625-9430
(417) 847-3180
(417) 847-3650

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040660
MO
183500000X
Pharmacist
8917
NE

Other

Enumeration date
09/16/2015
Last updated
09/16/2015
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