Individual
MR. BILLY THERON GREEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5040 KING AVE, ZELLWOOD, FL 32798-0313
(361) 443-2241
Mailing address
PO BOX 313, ZELLWOOD, FL 32798-0313
(361) 443-2241
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
16485
GA
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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