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Organization

MP SALES

Active
Other names
Extra Green Healthy Living
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATTHEW M PRICE RN (OWNER)
(618) 535-0530
Entity
Organization

Contact information

Practice address
303 E CARLINVILLE ST, WHITE HALL, IL 62092-1207
(618) 535-0530
(217) 374-6894
Mailing address
303 E CARLINVILLE ST, WHITE HALL, IL 62092-1207
(618) 535-0530
(217) 374-6894

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
09/15/2009
Last updated
09/15/2009
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