Individual
DR. JONATHAN MATTHEW GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
400 GALLOWAY ST NE APT 131S, WASHINGTON, DC 20011-6382
(240) 855-9509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202218864
VA
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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