Individual
ANDREA JAI GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2022 CUMMING HWY, CANTON, GA 30115-8071
(678) 880-4312
Mailing address
2022 CUMMING HWY, CANTON, GA 30115-8071
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH035131
GA
Other
Enumeration date
09/26/2024
Last updated
09/28/2024
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