Organization
GREEN HEALTH INTEGRATIVE & WELLNESS PHARMACY
Active
Organization
GREEN HEALTH INTEGRATIVE & WELLNESS PHARMACY
Active
Other names
Green Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWAME BINFO ENNIN PHARMD (CEO/MANAGING PRACTITIONER)
(703) 499-2373
Entity
Organization
Contact information
Practice address
2898 DALE BLVD UNIT 105, WOODBRIDGE, VA 22193-1118
(703) 499-2373
Mailing address
6047 TICKET WAY, WOODBRIDGE, VA 22193-6138
(703) 499-2373
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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