Individual
GLORIA BRUCE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, CGP
Contact information
Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-3351
Mailing address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-3351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202005097
VA
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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