Organization
MPN3 PHARMACY MGT LLC
Active
Organization
MPN3 PHARMACY MGT LLC
Active
Other names
Green Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MINA SHAH (OFFICER)
(732) 318-9628
Entity
Organization
Contact information
Practice address
1411 MEDICAL PKWY STE 101, CEDAR PARK, TX 78613-2696
(512) 399-5958
(512) 399-5953
Mailing address
1 JEAN CT, SOMERSET, NJ 08873-7337
(732) 318-9628
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
12/22/2022
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