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Individual

DAVID W GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
7320 216TH ST SW, EDMONDS, WA 98026-8006
(425) 673-3701
Mailing address
27833 NE 154TH ST, DUVALL, WA 98019-8199
(425) 381-6925

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
1593
AK
183500000X
Pharmacist
Primary
PH00018685
WA

Other

Enumeration date
09/05/2012
Last updated
12/14/2012
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