Green Pharmacy
Pharmacy, Community/Retail Pharmacy in Oak Park, IL. Organization (NPI-2).
NPI number1366736613
StatusActive
Last updated in NPPESJun 4, 2011
Details
- NPI
- 1366736613
- Entity type
- Organization (NPI-2)
- Legal business name
- Green Pharmacy
- Organization subpart
- No
- Enumeration date
- Jun 4, 2011
- Last updated
- Jun 4, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 183500000X | Pharmacist | – | – |
Practice location
150 S Oak Park AveUnit 307
Oak Park, IL 60302-2984
Phone 312-731-7564
Mailing address
219 W Buffalo StNew Buffalo, MI 49117-1807
Authorized official
Eric Yang
Owner
3127317564
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All 9 Community/Retail Pharmacy providers in Oak Park · All 3,051 providers in Oak Park
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