MR. Justin S Green, DPH

NPI #1265714000 in Catoosa, Oklahoma

Provider Information

NPI Number
1265714000
Entity Type
Individual
Name
MR. Justin S Green, DPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
DPH
Enumeration Date
Sep 19, 2011
Last Updated
Sep 19, 2011

Practice Location

Address
315 N 193RD EAST AVE
ZIP Code
74015-2862
Phone
(918) 266-8837

Specialties & Taxonomy Codes

Specialty
Pharmacist

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