Shelley Green

NPI #1003184771 in Blaine, Minnesota

Provider Information

NPI Number: 1003184771
Entity Type: Individual
Name: Shelley Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 8, 2011
Last Updated: Dec 8, 2011

Practice Location

Address: 600 COUNTY ROAD 10 NE
City: Blaine
State: Minnesota
ZIP Code: 55434-2329
Phone: (763) 786-9081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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