Individual
DR. MATTHEW GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4248 COAL HERITAGE RD, BLUEFIELD, WV 24701-9190
(304) 589-6868
(304) 589-6905
Mailing address
4248 COAL HERITAGE RD, BLUEFIELD, WV 24701-9190
(304) 589-6868
(304) 589-6905
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213971
VA
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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