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MR. THOMAS M. GREEN REG. PHARMACIST

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1760718779

Individual Registrant:
MR. THOMAS M. GREEN REG. PHARMACIST
Gender: M
Not Sole Proprietor

Location and contact information for practice:
303 1ST AVE  TYBEE ISLAND, GA 31328-8752 US
Tel: 912-786-7878  Fax: --

Contact information for business:
303 1ST AVE  TYBEE ISLAND, GA 31328-8752 US
Tel: 912-786-7878  Fax: --

Registration Information:
NPI: 1760718779
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH018645

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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