Miranda Green
NPI #1760523625 in Heavener, Oklahoma
Provider Information
- NPI Number
- 1760523625
- Entity Type
- Organization
- Organization Name
- Miranda Green
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Nov 18, 2015
Practice Location
Authorized Official
- Name
- MIRANDA GREEN, PD
- Title
- OWNER
- Phone
- (918) 653-4803
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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