Individual
DR. KELLY ALISSA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., PA-C
Contact information
Practice address
1295 N. MARTIN ROOM B308, TUCSON, AZ 85712
(520) 626-6016
Mailing address
7566 N LA CHOLLA BLVD STE A, TUCSON, AZ 85741-2307
(520) 742-4139
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
12514
AZ
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/06/2005
Last updated
03/03/2025
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