Individual
DR. BRANDON SCOTT GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., R.PH.
Contact information
Practice address
3368 BLACKFORD PKWY, LEXINGTON, KY 40509-9070
(606) 776-5557
Mailing address
3368 BLACKFORD PKWY, LEXINGTON, KY 40509-9070
(606) 776-5557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014503
KY
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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