Individual
ROSS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
(918) 567-7037
Mailing address
PO BOX 841, TALIHINA, OK 74571-0841
(918) 567-7000
(918) 567-7037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12260
OK
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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