Melissa D Green, PHARMD

NPI #1619257615 in Boise, Idaho

Provider Information

NPI Number: 1619257615
Entity Type: Individual
Name: Melissa D Green, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 22, 2011
Last Updated: Aug 22, 2011

Practice Location

Address: 500 W FORT ST
Address 2: BLDG 44
City: Boise
State: Idaho
ZIP Code: 83702-4501
Phone: (208) 422-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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