MRS. Marsha Jean Green, RPH

NPI #1104912526 in Waco, Texas

Provider Information

NPI Number: 1104912526
Entity Type: Individual
Name: MRS. Marsha Jean Green, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 209 SPEIGHT AVE. #214
Address 2: MCLANE STUDENT LIFE COMPLEX - PHARMACY
City: Waco
State: Texas
ZIP Code: 76706
Phone: (254) 710-4428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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