Individual
MR. LARRY WAYNE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, CDE
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2607
(253) 968-3349
Mailing address
3715 91ST AVENUE CT E, EDGEWOOD, WA 98371-2214
(253) 468-5566
(253) 968-3349
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
013254
LA
Other
Enumeration date
02/17/2006
Last updated
08/14/2020
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