Individual
ELIZABETH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1133 N JOHNS ST, DODGEVILLE, WI 53533-1277
(608) 935-2041
Mailing address
104 N MAIN ST, VERONA, WI 53593-1160
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15979-40
WI
Other
Enumeration date
10/07/2011
Last updated
02/20/2020
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