Individual
DR. JESSICA MICHELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1015 NEW MOODY LN, LA GRANGE, KY 40031-9142
(502) 222-9797
(502) 222-9928
Mailing address
1015 NEW MOODY LN, LA GRANGE, KY 40031-9142
(502) 222-9797
(502) 222-9928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015637
KY
183500000X
Pharmacist
26024301A
IN
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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